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 $4,365.16 Median $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $147.91 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $42.66 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $346.74 Typical High $380.19 | Professional | None (both parts) | $141.25 | $346.74 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $218.78 Typical High $275.42 | Professional | 26 · Professional part | $112.20 | $218.78 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $165.96 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $213.80 Typical High $25,703.96 | Facility | None | $120.23 | $213.80 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $194.98 | $263.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $186.21 Typical High $309.03 | Professional | 26 · Professional part | $138.04 | $186.21 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $75.86 | $125.89 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $251.19 | $251.19 | $323.59 |
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 $173.78 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $173.78 | $263.03 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $181.97 Typical High $436.52 | Professional | 26 · Professional part | $123.03 | $181.97 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $50.12 | $87.10 | $190.55 |
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 $74.13 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $74.13 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $46.77 | $46.77 |
Where Connecticut sits
The same service costs 8.3 times more in Louisiana 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· 13th of 51
$324
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.