How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $478.63 Median $645.65 Typical High $691.83 | Professional | None (both parts) | $478.63 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $138.04 | $147.91 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $588.84 Typical High $630.96 | Professional | TC · Technical part | $446.68 | $588.84 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,513.56 Typical High $2,187.76 | Professional | None (both parts) | $588.84 | $1,513.56 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $245.47 Typical High $436.52 | Professional | 26 · Professional part | $123.03 | $245.47 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $1,096.48 Typical High $1,698.24 | Professional | TC · Technical part | $154.88 | $1,096.48 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $316.23 | $446.68 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $218.78 Typical High $354.81 | Professional | 26 · Professional part | $162.18 | $218.78 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $234.42 | $363.08 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $309.03 Median $602.56 Typical High $1,380.38 | Professional | None (both parts) | $309.03 | $602.56 | $1,380.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $204.17 Typical High $398.11 | Professional | 26 · Professional part | $134.90 | $204.17 | $398.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $338.84 Typical High $977.24 | Professional | TC · Technical part | $173.78 | $338.84 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $912.01 Typical High $1,584.89 | Professional | None (both parts) | $407.38 | $912.01 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $213.80 Typical High $389.05 | Professional | 26 · Professional part | $141.25 | $213.80 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $741.31 Typical High $1,258.93 | Professional | TC · Technical part | $263.03 | $741.31 | $1,258.93 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $389.05 | Facility | None | $239.88 | $281.84 | $389.05 |
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 $239.88 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $239.88 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $128.82 | $128.82 |
Where New Hampshire 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.
New Hampshire· 3rd of 51
$832
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.