How much rates vary
Facilitymedian $123 · 10th to 90th $65 to $224Professionalmedian $117 · 10th to 90th $71 to $182
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 $72.44 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $72.44 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $53.70 | Professional | 26 · Professional part | $38.02 | $52.48 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $28.84 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $223.87 | Facility | None | $77.62 | $123.03 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $154.88 Typical High $181.97 | Professional | None (both parts) | $67.61 | $154.88 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $70.79 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $26.92 | $83.18 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $107.15 Typical High $162.18 | Facility | None | $44.67 | $107.15 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $85.11 | $95.50 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $60.26 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $97.72 | Professional | TC · Technical part | $31.62 | $36.31 | $97.72 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $89.13 | $100.00 | $144.54 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $57.54 | $70.79 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $32.36 | $52.48 | $75.86 |
Health New England Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $69.18 | $109.65 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $56.23 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $93.33 | Professional | TC · Technical part | $30.20 | $43.65 | $93.33 |
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 $36.31 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.22 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska than in New York. 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.
Connecticut· 11th of 51
$117
AK $182NY $53.70
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.