How much rates vary
Facilitymedian $174 · 10th to 90th $112 to $661Professionalmedian $47 · 10th to 90th $22 to $162
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 $25.70 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $25.70 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $4.27 Typical High $5.01 | Professional | 26 · Professional part | $3.24 | $4.27 | $5.01 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $32.36 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $660.69 | Facility | None | $112.20 | $169.82 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $46.77 Typical High $79.43 | Professional | None (both parts) | $25.12 | $46.77 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $6.46 Typical High $10.47 | Professional | 26 · Professional part | $2.95 | $6.46 | $10.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $21.88 | $40.74 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $630.96 | Facility | None | $331.13 | $436.52 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $36.31 | $85.11 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $5.25 Typical High $7.94 | Professional | 26 · Professional part | $4.57 | $5.25 | $7.94 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $28.84 | $112.20 | $169.82 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $37.15 Median $60.26 Typical High $316.23 | Professional | None (both parts) | $37.15 | $60.26 | $316.23 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.25 Typical High $8.32 | Professional | 26 · Professional part | $3.89 | $5.25 | $8.32 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $24.55 | $48.98 | $54.95 |
Health New England Setting Facility Modifier None Typical Low $67.61 Median $407.38 Typical High $588.84 | Facility | None | $67.61 | $407.38 | $588.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $5.25 Median $6.17 Typical High $57.54 | Professional | None (both parts) | $5.25 | $6.17 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $42.66 Typical High $181.97 | Professional | None (both parts) | $22.39 | $42.66 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $4.47 Typical High $11.75 | Professional | 26 · Professional part | $2.75 | $4.47 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $35.48 Typical High $154.88 | Professional | TC · Technical part | $19.50 | $35.48 | $154.88 |
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 $11.22 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $11.22 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $4.57 | $7.24 | $7.24 |
Where Connecticut sits
The same service costs 2.9 times more in Kansas 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· 14th of 51
$46.77
KS $74.13MD $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.