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 $190.55 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $190.55 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $91.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $97.72 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $707.95 Typical High $1,258.93 | Facility | None | $549.54 | $707.95 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $87.10 | $218.78 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $165.96 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $165.96 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $181.97 | $223.87 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $1,202.26 | Facility | None | $389.05 | $501.19 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $251.19 | $316.23 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $112.20 | $131.83 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $186.21 | $239.88 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $275.42 | $295.12 | $436.52 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $100.00 | $131.83 | $147.91 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $158.49 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $338.84 Typical High $851.14 | Professional | None (both parts) | $213.80 | $338.84 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $331.13 | Professional | 26 · Professional part | $79.43 | $114.82 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $208.93 Typical High $562.34 | Professional | TC · Technical part | $134.90 | $208.93 | $562.34 |
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 $95.50 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $95.50 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $38.02 | $53.70 | $53.70 |
Where Connecticut sits
The same service costs 3.1 times more in Alaska than in New York. 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· 19th of 51
$288
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.