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 $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $93.33 | Professional | None (both parts) | $64.57 | $85.11 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $12.30 | $24.55 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $40.74 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $45.71 | $47.86 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.20 Typical High $33.88 | Professional | 26 · Professional part | $16.98 | $18.20 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $30.20 | $58.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $93.33 | Professional | None (both parts) | $28.84 | $39.81 | $93.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $33.88 | Professional | 26 · Professional part | $13.49 | $14.79 | $33.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $22.91 | $25.70 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $54.95 Typical High $93.33 | Professional | None (both parts) | $36.31 | $54.95 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $38.90 | Professional | 26 · Professional part | $13.80 | $19.50 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $21.38 | $33.88 | $54.95 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Where New Hampshire sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 7th of 51
$64.57
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.