How much rates vary
Facilitymedian $537 · 10th to 90th $263 to $794Professionalmedian $178 · 10th to 90th $100 to $263
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 $123.03 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $123.03 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.88 Typical High $35.48 | Professional | 26 · Professional part | $18.62 | $33.88 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $151.36 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $794.33 | Facility | None | $524.81 | $616.60 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $109.65 | $151.36 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $27.54 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $123.03 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $363.08 Typical High $794.33 | Facility | None | $141.25 | $363.08 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $165.96 | $213.80 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $22.91 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $125.89 | $151.36 | $309.03 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $144.54 | $213.80 | $281.84 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $18.62 | $24.55 | $33.88 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $194.98 | $257.04 |
Health New England Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Health New England Setting Professional Modifier None (both parts) Typical Low $28.84 Median $29.51 Typical High $35.48 | Professional | None (both parts) | $28.84 | $29.51 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $123.03 | $181.97 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $18.62 | $29.51 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $158.49 | $275.42 |
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 $57.54 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $57.54 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $23.44 | $37.15 | $37.15 |
Where Connecticut sits
The same service costs 3.2 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· 15th of 51
$178
AK $302UT $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.