How much rates vary
Facilitymedian $562 · 10th to 90th $263 to $776Professionalmedian $182 · 10th to 90th $117 to $302
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 $128.82 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $128.82 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $35.48 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $151.36 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $776.25 | Facility | None | $524.81 | $616.60 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $109.65 | $162.18 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $28.84 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $141.25 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $794.33 | Facility | None | $141.25 | $346.74 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $162.18 | $218.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $28.84 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $128.82 | $151.36 | $309.03 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $104.71 | $181.97 | $269.15 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $29.51 | $38.90 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $199.53 | $263.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $123.03 | $186.21 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $31.62 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $158.49 | $275.42 |
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 $58.88 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $58.88 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $23.44 | $37.15 | $37.15 |
Where Connecticut sits
The same service costs 3.3 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· 14th of 51
$182
AK $316UT $95.50
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.