How much rates vary
Facilitymedian $661 · 10th to 90th $316 to $955Professionalmedian $191 · 10th to 90th $115 to $347
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 $194.98 Typical High $218.78 | Professional | None (both parts) | $138.04 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $21.88 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $162.18 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $758.58 Typical High $954.99 | Facility | None | $645.65 | $758.58 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $346.74 | Professional | None (both parts) | $114.82 | $169.82 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $27.54 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $131.83 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $389.05 Typical High $933.25 | Facility | None | $173.78 | $389.05 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $162.18 | $257.04 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $28.84 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $181.97 | $371.54 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $154.88 | $263.03 | $346.74 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $28.84 | $37.15 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $128.82 | $239.88 | $316.23 |
Health New England Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Facility | None | $537.03 | $537.03 | $741.31 |
Health New England Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $288.40 | Professional | None (both parts) | $36.31 | $36.31 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $144.54 | $218.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $30.20 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $190.55 | $331.13 |
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 $69.18 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $69.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $38.90 | $38.90 |
Where Connecticut sits
The same service costs 3.7 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
$191
AK $355UT $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.