How much rates vary
Facilitymedian $1,380 · 10th to 90th $275 to $4,467Professionalmedian $398 · 10th to 90th $234 to $851
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 $257.04 Median $398.11 Typical High $416.87 | Professional | None (both parts) | $257.04 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $138.04 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $269.15 | Professional | TC · Technical part | $162.18 | $263.03 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $741.31 Typical High $1,479.11 | Professional | None (both parts) | $263.03 | $741.31 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $181.97 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $181.97 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $309.03 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $933.25 | Facility | None | $537.03 | $831.76 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $288.40 | $389.05 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $128.82 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $263.03 | $398.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $416.87 | $416.87 | $588.84 |
Health New England Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $2,570.40 | Facility | None | $676.08 | $676.08 | $2,570.40 |
Health New England Setting Professional Modifier None (both parts) Typical Low $75.86 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $75.86 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $1,096.48 | Professional | None (both parts) | $288.40 | $416.87 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $323.59 | Professional | 26 · Professional part | $81.28 | $128.82 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $758.58 | Professional | TC · Technical part | $199.53 | $309.03 | $758.58 |
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 $117.49 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $117.49 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $47.86 | $81.28 | $81.28 |
Where Connecticut sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 12th of 51
$417
WI $776OR $182
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.