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 Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $239.88 | Facility | None | $117.49 | $117.49 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $117.49 | $131.83 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $58.88 | Professional | 26 · Professional part | $15.49 | $18.62 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $107.15 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $120.23 | $138.04 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $25.70 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $112.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $851.14 | Facility | None | $316.23 | $645.65 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $138.04 | $177.83 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $29.51 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $144.54 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $131.83 | $208.93 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $72.44 | Professional | 26 · Professional part | $25.12 | $38.02 | $72.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $107.15 | $173.78 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $144.54 | $213.80 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $186.21 | $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 $58.88 Median $58.88 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $23.44 | $33.88 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$178
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.