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 $53.70 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $53.70 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.79 Typical High $14.79 | Professional | TC · Technical part | $11.22 | $14.79 | $14.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $41.69 | $134.90 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $36.31 | $69.18 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $24.55 | $53.70 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $2,691.53 | Facility | None | $28.84 | $43.65 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $66.07 | $83.18 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $64.57 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $18.62 Typical High $29.51 | Professional | TC · Technical part | $14.45 | $18.62 | $29.51 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | None (both parts) | $95.50 | $95.50 | $97.72 |
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 $57.54 Median $89.13 Typical High $190.55 | Professional | None (both parts) | $57.54 | $89.13 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $63.10 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.88 Typical High $52.48 | Professional | TC · Technical part | $14.45 | $21.88 | $52.48 |
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 $26.92 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $10.96 | $13.49 | $13.49 |
Where Connecticut sits
The same service costs 51.3 times more in Oklahoma than in New York. 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· 12th of 51
$110
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.