How much rates vary
Facilitymedian $537 · 10th to 90th $257 to $741Professionalmedian $174 · 10th to 90th $60 to $269
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 $173.78 Typical High $239.88 | Professional | None (both parts) | $123.03 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $20.89 | $30.20 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $100.00 | $141.25 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $741.31 | Facility | None | $489.78 | $575.44 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $104.71 | $151.36 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $18.20 | $27.54 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $123.03 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $380.19 Typical High $891.25 | Facility | None | $131.83 | $380.19 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $158.49 | $213.80 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $31.62 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $147.91 | $295.12 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $181.97 | $323.59 | $489.78 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $26.30 | $44.67 | $87.10 |
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 $269.15 Median $562.34 Typical High $870.96 | Facility | None | $269.15 | $562.34 | $870.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $40.74 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $40.74 | $186.21 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $117.49 | $186.21 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $20.42 | $28.84 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $158.49 | $288.40 |
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 $53.70 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $53.70 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $34.67 | $34.67 |
Where Connecticut sits
The same service costs 4.0 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· 14th of 51
$174
MN $380UT $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.