How much rates vary
Facilitymedian $151 · 10th to 90th $100 to $295Professionalmedian $50 · 10th to 90th $24 to $76
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 $27.54 Median $38.90 Typical High $46.77 | Professional | None (both parts) | $27.54 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $11.75 | Professional | 26 · Professional part | $6.92 | $10.23 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $34.67 | Professional | TC · Technical part | $19.95 | $28.84 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $295.12 | Facility | None | $100.00 | $151.36 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $24.55 | $50.12 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $7.24 | $14.13 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $19.50 | $37.15 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $281.84 | Facility | None | $72.44 | $134.90 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $38.02 | $66.07 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $17.38 | Professional | 26 · Professional part | $9.77 | $11.22 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $56.23 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $56.23 | $64.57 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $48.98 | Professional | None (both parts) | $30.20 | $43.65 | $48.98 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $12.30 | Professional | 26 · Professional part | $8.71 | $10.96 | $12.30 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $33.11 | $37.15 |
Health New England Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $398.11 | Facility | None | $58.88 | $58.88 | $398.11 |
Health New England Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | None (both parts) | $15.14 | $15.14 | $15.85 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $39.81 Typical High $93.33 | Professional | None (both parts) | $23.99 | $39.81 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.23 Typical High $26.30 | Professional | 26 · Professional part | $6.31 | $10.23 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $29.51 Typical High $75.86 | Professional | TC · Technical part | $17.38 | $29.51 | $75.86 |
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 $12.02 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $12.02 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.79 | $7.76 | $7.76 |
Where Connecticut sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 11th of 51
$50.12
MN $69.18MD $25.70
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.