How much rates vary
Professionalmedian $457 · 10th to 90th $257 to $741
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 $281.84 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $281.84 | $302.00 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $223.87 | Professional | 26 · Professional part | $64.57 | $75.86 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $181.97 | $234.42 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $588.84 Typical High $812.83 | Professional | None (both parts) | $245.47 | $588.84 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $173.78 Typical High $309.03 | Professional | 26 · Professional part | $89.13 | $173.78 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $144.54 | $281.84 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $295.12 | $389.05 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $251.19 | Professional | 26 · Professional part | $93.33 | $128.82 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $190.55 | $263.03 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $257.04 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $257.04 | $380.19 | $741.31 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $281.84 | Professional | 26 · Professional part | $97.72 | $144.54 | $281.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $158.49 | $239.88 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $251.19 | $380.19 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $93.33 | $144.54 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $257.04 | $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 $147.91 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $60.26 | $60.26 | $63.10 |
Where New Hampshire sits
The same service costs 4.7 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· 6th of 51
$457
AK $589UT $126
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.