How much rates vary
Facilitymedian $589 · 10th to 90th $282 to $891Professionalmedian $224 · 10th to 90th $145 to $417
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 $147.91 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $147.91 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $53.70 | Professional | 26 · Professional part | $34.67 | $50.12 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $151.36 | $309.03 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $67.61 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $239.88 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $478.63 Typical High $1,288.25 | Facility | None | $208.93 | $478.63 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $144.54 | $194.98 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $46.77 | $53.70 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $295.12 | Professional | TC · Technical part | $97.72 | $138.04 | $295.12 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $181.97 | $208.93 | $239.88 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $53.70 | $58.88 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $151.36 | $190.55 |
Health New England Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $549.54 | Professional | None (both parts) | $144.54 | $194.98 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $128.82 | Professional | 26 · Professional part | $31.62 | $48.98 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $457.09 | Professional | TC · Technical part | $107.15 | $158.49 | $457.09 |
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 $69.18 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $28.18 | $44.67 | $44.67 |
Where Connecticut sits
The same service costs 3.0 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· 12th of 51
$240
AK $380UT $129
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.