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 $213.80 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $213.80 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $97.72 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $245.47 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $851.14 Typical High $1,096.48 | Facility | None | $331.13 | $851.14 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $173.78 | $371.54 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $61.66 | $131.83 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $114.82 | $234.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $1,288.25 | Facility | None | $204.17 | $489.78 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $181.97 | $251.19 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $107.15 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $144.54 | $302.00 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $190.55 | $223.87 | $354.81 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $107.15 | $120.23 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $204.17 | $229.09 |
Health New England Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $676.08 | Professional | None (both parts) | $169.82 | $239.88 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $257.04 | Professional | 26 · Professional part | $61.66 | $97.72 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $501.19 | Professional | TC · Technical part | $107.15 | $158.49 | $501.19 |
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 $107.15 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $107.15 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $42.66 | $69.18 | $69.18 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 10th of 51
$339
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.