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 $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 $309.03 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $309.03 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $239.88 | $346.74 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $741.31 Typical High $812.83 | Professional | None (both parts) | $295.12 | $741.31 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $457.09 Typical High $616.60 | Professional | 26 · Professional part | $239.88 | $457.09 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $316.23 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $316.23 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $25,703.96 | Facility | None | $194.98 | $363.08 | $25,703.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $407.38 | $501.19 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $389.05 Typical High $630.96 | Professional | 26 · Professional part | $309.03 | $389.05 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $114.82 | $190.55 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $660.69 | Professional | None (both parts) | $537.03 | $537.03 | $660.69 |
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 $354.81 Median $537.03 Typical High $1,258.93 | Professional | None (both parts) | $354.81 | $537.03 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $398.11 Typical High $933.25 | Professional | 26 · Professional part | $263.03 | $398.11 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $346.74 | Professional | TC · Technical part | $93.33 | $154.88 | $346.74 |
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 $154.88 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $154.88 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $89.13 | $89.13 |
Where Connecticut sits
The same service costs 9.5 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· 13th of 51
$692
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.