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 $190.55 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $93.33 | $93.33 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $97.72 | $97.72 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $85.11 | $380.19 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $218.78 Typical High $316.23 | Professional | 26 · Professional part | $169.82 | $218.78 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $218.78 | $309.03 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $245.47 | Professional | 26 · Professional part | $109.65 | $147.91 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $112.20 | $162.18 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $269.15 | $398.11 | $758.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $281.84 | Professional | 26 · Professional part | $93.33 | $141.25 | $281.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $257.04 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $269.15 | $389.05 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $97.72 | $147.91 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $173.78 | $251.19 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $338.84 | Facility | None | $208.93 | $245.47 | $338.84 |
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 $95.50 Typical High $107.15 | Professional | 52 · Reduced service | $95.50 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $38.90 | $38.90 | $42.66 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$380
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.