How much rates vary
Facilitymedian $1,622 · 10th to 90th $275 to $8,128Professionalmedian $363 · 10th to 90th $204 to $1,148
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 $6,760.83 Typical High $52,480.75 | Facility | None | $4,365.16 | $6,760.83 | $52,480.75 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $331.13 | Professional | None (both parts) | $194.98 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $57.54 | $229.09 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $50.12 | $79.43 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $181.97 | $457.09 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $120.23 Typical High $338.84 | Professional | 26 · Professional part | $54.95 | $120.23 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $213.80 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $1,412.54 | Facility | None | $245.47 | $407.38 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $354.81 Typical High $457.09 | Professional | None (both parts) | $165.96 | $354.81 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $194.98 Typical High $281.84 | Professional | 26 · Professional part | $123.03 | $194.98 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $42.66 | $93.33 | $186.21 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $1,659.59 | Professional | None (both parts) | $331.13 | $331.13 | $1,659.59 |
Health New England Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
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 $354.81 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $354.81 | $616.60 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $234.42 Typical High $588.84 | Professional | 26 · Professional part | $104.71 | $234.42 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $426.58 Typical High $933.25 | Professional | TC · Technical part | $213.80 | $426.58 | $933.25 |
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 $61.66 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $61.66 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $25.12 | $61.66 | $61.66 |
Where Connecticut sits
The same service costs 4.8 times more in Nebraska 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· 11th of 51
$437
NE $724SC $151
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.