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 $97.72 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $97.72 | $97.72 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $31.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $66.07 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $144.54 | $162.18 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $40.74 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $120.23 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,071.52 | Facility | None | $316.23 | $660.69 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $181.97 | $245.47 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $46.77 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $190.55 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $186.21 | $281.84 | $562.34 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $54.95 | $97.72 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $147.91 | $223.87 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $173.78 | $269.15 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $44.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $234.42 | $389.05 |
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 $48.98 Median $48.98 Typical High $87.10 | Professional | 52 · Reduced service | $48.98 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $34.67 | Professional | 53 · Discontinued | $19.50 | $19.50 | $34.67 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$224
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.