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 $204.17 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $204.17 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $151.36 | $234.42 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $51.29 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $190.55 | $478.63 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $309.03 Typical High $398.11 | Professional | 26 · Professional part | $158.49 | $309.03 | $398.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $102.33 | $229.09 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $25,703.96 | Facility | None | $144.54 | $257.04 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $263.03 | $354.81 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $263.03 Typical High $436.52 | Professional | 26 · Professional part | $194.98 | $263.03 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $91.20 | $154.88 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $346.74 | $346.74 | $436.52 |
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 $234.42 Median $354.81 Typical High $831.76 | Professional | None (both parts) | $234.42 | $354.81 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $257.04 Typical High $616.60 | Professional | 26 · Professional part | $173.78 | $257.04 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $107.15 Typical High $234.42 | Professional | TC · Technical part | $60.26 | $107.15 | $234.42 |
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 $102.33 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $63.10 | $63.10 |
Where Connecticut sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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
$437
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.