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 $234.42 Median $389.05 Typical High $398.11 | Professional | None (both parts) | $234.42 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $64.57 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $331.13 | Professional | TC · Technical part | $181.97 | $323.59 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,412.54 | Facility | None | $933.25 | $1,096.48 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $239.88 | $354.81 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $57.54 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $199.53 | $288.40 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $758.58 Typical High $1,445.44 | Facility | None | $218.78 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $281.84 | $416.87 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $64.57 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $316.23 | $660.69 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $323.59 | $426.58 | $562.34 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $67.61 | $74.13 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $371.54 Typical High $478.63 | Professional | TC · Technical part | $269.15 | $371.54 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $263.03 | $380.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $316.23 | $616.60 |
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 $117.49 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $117.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $46.77 | $77.62 | $77.62 |
Where Connecticut sits
The same service costs 3.0 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· 13th of 51
$389
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.