How much rates vary
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 $194.98 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $194.98 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $47.86 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $269.15 | Professional | TC · Technical part | $162.18 | $234.42 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,230.27 | Facility | None | $812.83 | $954.99 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $165.96 | $239.88 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $43.65 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $199.53 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $575.44 Typical High $1,348.96 | Facility | None | $218.78 | $575.44 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $245.47 | $331.13 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $48.98 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $194.98 | $234.42 | $457.09 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $794.33 | Professional | None (both parts) | $288.40 | $549.54 | $794.33 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $40.74 | $67.61 | $134.90 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $288.40 | $380.19 |
Health New England Setting Facility Modifier None Typical Low $316.23 Median $954.99 Typical High $1,202.26 | Facility | None | $316.23 | $954.99 | $1,202.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $64.57 Median $67.61 Typical High $354.81 | Professional | None (both parts) | $64.57 | $67.61 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $186.21 | $281.84 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $43.65 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $245.47 | $457.09 |
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 $85.11 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $85.11 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $33.88 | $56.23 | $56.23 |
Where Connecticut sits
The same service costs 3.5 times more in Minnesota 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
$269
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.