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 $151.36 Median $239.88 Typical High $245.47 | Professional | None (both parts) | $151.36 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $109.65 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $128.82 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $147.91 | $436.52 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $66.07 | $144.54 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $446.68 | Facility | None | $275.42 | $398.11 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $158.49 | $223.87 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $100.00 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $123.03 | $173.78 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $245.47 | $245.47 | $323.59 |
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 $154.88 Median $251.19 Typical High $588.84 | Professional | None (both parts) | $154.88 | $251.19 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $263.03 | Professional | 26 · Professional part | $58.88 | $95.50 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $141.25 | $323.59 |
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 $63.10 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $63.10 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $25.70 | $47.86 | $47.86 |
Where Connecticut sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 9th of 51
$263
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.