How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | None (both parts) | $64.57 | $64.57 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $40.74 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $23.99 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $138.04 | $158.49 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $35.48 | $69.18 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $34.67 | $67.61 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $93.33 | $102.33 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $51.29 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $40.74 | $51.29 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $72.44 | $117.49 | $208.93 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $64.57 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $39.81 Typical High $91.20 | Professional | TC · Technical part | $38.02 | $39.81 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $72.44 | $104.71 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $30.20 | $45.71 | $77.62 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Where New Hampshire sits
The same service costs 3.3 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Hampshire· 5th of 51
$138
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.