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 $208.93 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $208.93 | $323.59 | $323.59 |
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 $60.26 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $60.26 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $501.19 Typical High $549.54 | Professional | None (both parts) | $199.53 | $501.19 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $309.03 Typical High $389.05 | Professional | 26 · Professional part | $158.49 | $309.03 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $234.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $25,703.96 | Facility | None | $173.78 | $302.00 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $275.42 | $363.08 | $616.60 |
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 $79.43 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $107.15 | $177.83 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $363.08 | $363.08 | $457.09 |
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 $245.47 Median $371.54 Typical High $870.96 | Professional | None (both parts) | $245.47 | $371.54 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $257.04 Typical High $602.56 | Professional | 26 · Professional part | $173.78 | $257.04 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $125.89 Typical High $281.84 | Professional | TC · Technical part | $72.44 | $125.89 | $281.84 |
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 $104.71 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $104.71 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $66.07 | $66.07 |
Where Connecticut sits
The same service costs 5.8 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
$457
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.