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 $5,248.07 Median $9,549.93 Typical High $18,620.87 | Facility | None | $5,248.07 | $9,549.93 | $18,620.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,202.26 Typical High $1,412.54 | Professional | None (both parts) | $933.25 | $1,202.26 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $891.25 Typical High $1,096.48 | Professional | 26 · Professional part | $660.69 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $331.13 | Professional | TC · Technical part | $239.88 | $316.23 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,862.09 Typical High $2,041.74 | Professional | None (both parts) | $758.58 | $1,862.09 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $1,202.26 Typical High $1,513.56 | Professional | 26 · Professional part | $602.56 | $1,202.26 | $1,513.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $891.25 Typical High $1,047.13 | Professional | TC · Technical part | $416.87 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $8,317.64 Typical High $14,125.38 | Facility | None | $776.25 | $8,317.64 | $14,125.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,513.56 Typical High $2,238.72 | Professional | None (both parts) | $1,071.52 | $1,513.56 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $1,023.29 Typical High $1,659.59 | Professional | 26 · Professional part | $758.58 | $1,023.29 | $1,659.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $562.34 Typical High $776.25 | Professional | TC · Technical part | $269.15 | $562.34 | $776.25 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,949.84 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $2,570.40 Typical High $6,025.60 | Professional | None (both parts) | $1,122.02 | $2,570.40 | $6,025.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $977.24 Typical High $2,344.23 | Professional | 26 · Professional part | $676.08 | $977.24 | $2,344.23 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $1,548.82 Typical High $3,630.78 | Professional | TC · Technical part | $389.05 | $1,548.82 | $3,630.78 |
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 $398.11 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $398.11 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $158.49 | $239.88 | $239.88 |
Where Connecticut sits
The same service costs 5.2 times more in Louisiana 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· 17th of 51
$1,862
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.