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 Facility Modifier None Typical Low $4,570.88 Median $8,511.38 Typical High $16,218.10 | Facility | None | $4,570.88 | $8,511.38 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $213.80 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $123.03 | $169.82 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $89.13 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $173.78 | $416.87 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $223.87 Typical High $275.42 | Professional | 26 · Professional part | $114.82 | $223.87 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $144.54 | $204.17 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $25,703.96 | Facility | None | $208.93 | $363.08 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $239.88 | $323.59 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $316.23 | Professional | 26 · Professional part | $141.25 | $190.55 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $131.83 | $223.87 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $309.03 | $309.03 | $398.11 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,585.78 | Facility | None | $660.69 | $2,691.53 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $776.25 | Professional | None (both parts) | $213.80 | $331.13 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $181.97 Typical High $446.68 | Professional | 26 · Professional part | $125.89 | $181.97 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $346.74 | Professional | TC · Technical part | $87.10 | $158.49 | $346.74 |
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 $91.20 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $91.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $36.31 | $57.54 | $57.54 |
Where Connecticut sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 16th of 51
$417
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.