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 Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $69.18 | Facility | None | $30.20 | $30.20 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $66.07 | Professional | None (both parts) | $30.20 | $30.20 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $7.94 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.39 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $22.39 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $27.54 | $64.57 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $7.41 | $14.45 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $18.20 | $35.48 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $77.62 | Professional | None (both parts) | $33.11 | $45.71 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $9.12 | $11.75 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $61.66 | Professional | TC · Technical part | $24.55 | $34.67 | $61.66 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $28.18 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $28.18 | $43.65 | $81.28 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $8.13 | $12.02 | $22.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $19.95 | $32.36 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $30.90 | $52.48 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $8.13 | $12.02 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $22.39 | $38.90 | $60.26 |
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 $14.13 Median $15.14 Typical High $19.50 | Professional | 52 · Reduced service | $14.13 | $15.14 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $7.76 | Professional | 53 · Discontinued | $5.62 | $6.03 | $7.76 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$50.12
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.