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 $549.54 Median $691.83 Typical High $794.33 | Professional | None (both parts) | $549.54 | $691.83 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $177.83 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $645.65 Typical High $724.44 | Professional | TC · Technical part | $524.81 | $645.65 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $2,089.30 Typical High $2,691.53 | Facility | None | $724.44 | $2,089.30 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,202.26 Typical High $1,584.89 | Professional | None (both parts) | $549.54 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $239.88 Typical High $398.11 | Professional | 26 · Professional part | $120.23 | $239.88 | $398.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $1,122.02 Typical High $1,318.26 | Professional | TC · Technical part | $467.74 | $1,122.02 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $537.03 Typical High $1,288.25 | Facility | None | $363.08 | $537.03 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $363.08 | $416.87 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $194.98 Typical High $309.03 | Professional | 26 · Professional part | $173.78 | $194.98 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $239.88 | $338.84 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $338.84 | $446.68 | $602.56 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $204.17 Typical High $229.09 | Professional | 26 · Professional part | $144.54 | $204.17 | $229.09 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $190.55 | $229.09 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $741.31 Typical High $2,187.76 | Professional | None (both parts) | $338.84 | $741.31 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $169.82 Typical High $467.74 | Professional | 26 · Professional part | $112.20 | $169.82 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $588.84 Typical High $1,778.28 | Professional | TC · Technical part | $173.78 | $588.84 | $1,778.28 |
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 $275.42 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $275.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $109.65 | $138.04 | $138.04 |
Where Connecticut sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 5th of 51
$741
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.