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 $169.82 Median $229.09 Typical High $239.88 | Professional | None (both parts) | $169.82 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $169.82 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $58.88 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $134.90 | $331.13 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $154.88 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $169.82 Typical High $199.53 | Professional | TC · Technical part | $64.57 | $169.82 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $302.00 Typical High $1,047.13 | Facility | None | $181.97 | $302.00 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $186.21 | $269.15 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $245.47 | Professional | 26 · Professional part | $134.90 | $177.83 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $48.98 | $74.13 | $138.04 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $4,677.35 | Professional | None (both parts) | $239.88 | $239.88 | $4,677.35 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,677.35 | Facility | None | $251.19 | $1,548.82 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $602.56 Typical High $3,090.30 | Professional | None (both parts) | $257.04 | $602.56 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $177.83 Typical High $426.58 | Professional | 26 · Professional part | $117.49 | $177.83 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $338.84 Typical High $2,630.27 | Professional | TC · Technical part | $81.28 | $338.84 | $2,630.27 |
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 $72.44 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $72.44 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $28.84 | $45.71 | $45.71 |
Where Connecticut sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 16th of 51
$339
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.