How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50,118.72 Median $52,480.75 Typical High $56,234.13 | Facility | None | $50,118.72 | $52,480.75 | $56,234.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $213.80 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $147.91 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $489.78 | Professional | None (both parts) | $199.53 | $371.54 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $269.15 Typical High $338.84 | Professional | 26 · Professional part | $144.54 | $269.15 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $102.33 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $199.53 Typical High $416.87 | Facility | None | $52.48 | $199.53 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $295.12 | $426.58 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $275.42 Typical High $371.54 | Professional | 26 · Professional part | $208.93 | $275.42 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $151.36 | $173.78 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $281.84 | $354.81 | $467.74 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $288.40 | Professional | 26 · Professional part | $204.17 | $223.87 | $288.40 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $104.71 | $173.78 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $10,964.78 | Facility | None | $1,318.26 | $3,890.45 | $10,964.78 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $323.59 Typical High $776.25 | Professional | None (both parts) | $177.83 | $323.59 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $229.09 Typical High $562.34 | Professional | 26 · Professional part | $131.83 | $229.09 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $89.13 Typical High $213.80 | Professional | TC · Technical part | $46.77 | $89.13 | $213.80 |
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 $107.15 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $107.15 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $60.26 | $60.26 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$372
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.