How much rates vary
Facilitymedian $631 · 10th to 90th $288 to $871Professionalmedian $195 · 10th to 90th $115 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 $138.04 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $138.04 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $30.90 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $165.96 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $870.96 | Facility | None | $588.84 | $691.83 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $114.82 | $181.97 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $27.54 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $371.54 Typical High $912.01 | Facility | None | $154.88 | $371.54 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $158.49 | $218.78 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $32.36 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $331.13 | Professional | TC · Technical part | $117.49 | $165.96 | $331.13 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $134.90 | $218.78 | $288.40 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $31.62 | $36.31 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $190.55 | $251.19 |
Health New England Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $776.25 | Facility | None | $724.44 | $724.44 | $776.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $34.67 | $44.67 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $125.89 | $204.17 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $28.84 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $177.83 | $295.12 |
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 $63.10 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $63.10 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $25.12 | $39.81 | $39.81 |
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· 13th of 51
$195
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.