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 Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $758.58 | Professional | None (both parts) | $549.54 | $707.95 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $457.09 Typical High $588.84 | Professional | 26 · Professional part | $229.09 | $457.09 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $46.77 | $91.20 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $398.11 | $416.87 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $338.84 Typical High $630.96 | Professional | 26 · Professional part | $323.59 | $338.84 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $64.57 | $69.18 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $302.00 | $380.19 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $302.00 Typical High $630.96 | Professional | 26 · Professional part | $251.19 | $302.00 | $630.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $54.95 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $323.59 | $457.09 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $380.19 Typical High $630.96 | Professional | 26 · Professional part | $269.15 | $380.19 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $44.67 | $67.61 | $131.83 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where New Hampshire sits
The same service costs 3.3 times more in Minnesota 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.
New Hampshire· 6th of 51
$550
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.