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 Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $208.93 | $208.93 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $47.86 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $162.18 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $269.15 | $309.03 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $51.29 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $223.87 | $257.04 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,412.54 Typical High $1,862.09 | Facility | None | $691.83 | $1,412.54 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $288.40 | $398.11 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $64.57 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $645.65 | Professional | TC · Technical part | $239.88 | $331.13 | $645.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $891.25 | Professional | None (both parts) | $295.12 | $457.09 | $891.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $50.12 | $75.86 | $144.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $380.19 Typical High $724.44 | Professional | TC · Technical part | $245.47 | $380.19 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $275.42 | $457.09 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $75.86 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $251.19 | $389.05 | $645.65 |
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 $104.71 Median $104.71 Typical High $186.21 | Professional | 52 · Reduced service | $104.71 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $41.69 | $74.13 |
Where New Hampshire 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.
New Hampshire· 15th 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.