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 $218.78 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $218.78 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $87.10 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $158.49 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $1,023.29 Typical High $1,230.27 | Facility | None | $549.54 | $1,023.29 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $229.09 | $436.52 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $60.26 | $117.49 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $323.59 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $1,819.70 | Facility | None | $407.38 | $660.69 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $275.42 | $316.23 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $91.20 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $223.87 | $398.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $371.54 | Professional | None (both parts) | $263.03 | $323.59 | $371.54 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $93.33 | $102.33 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $194.98 | $229.09 | $275.42 |
Health New England Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,348.96 | $1,348.96 | $1,380.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $109.65 | $109.65 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $812.83 | Professional | None (both parts) | $208.93 | $309.03 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $223.87 | Professional | 26 · Professional part | $54.95 | $85.11 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $602.56 | Professional | TC · Technical part | $154.88 | $223.87 | $602.56 |
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 $104.71 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $104.71 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $42.66 | $67.61 | $67.61 |
Where Connecticut sits
The same service costs 3.5 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.
Connecticut· 11th of 51
$355
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.