How much rates vary
Facilitymedian $417 · 10th to 90th $162 to $575Professionalmedian $120 · 10th to 90th $76 to $195
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 $89.13 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $89.13 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.38 Typical High $18.20 | Professional | 26 · Professional part | $11.48 | $17.38 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $109.65 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $575.44 | Facility | None | $389.05 | $457.09 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $74.13 | $109.65 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $15.49 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $63.10 | $93.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $489.78 | Facility | None | $120.23 | $234.42 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $85.11 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $17.38 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $107.15 | $218.78 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $100.00 | $165.96 | $186.21 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $17.38 | $23.44 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $141.25 | $165.96 |
Health New England Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Health New England Setting Professional Modifier None (both parts) Typical Low $19.50 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $19.50 | $81.28 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $81.28 | $128.82 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $37.15 | Professional | 26 · Professional part | $11.75 | $15.85 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $69.18 | $117.49 | $208.93 |
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 $39.81 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $39.81 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $16.22 | $25.70 | $25.70 |
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· 16th of 51
$120
AK $209UT $63.10
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.