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 Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $251.19 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $79.43 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $323.59 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $234.42 | $323.59 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $67.61 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $363.08 | Professional | TC · Technical part | $190.55 | $257.04 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $758.58 Typical High $1,819.70 | Facility | None | $218.78 | $758.58 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $363.08 | $478.63 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $114.82 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $251.19 | $316.23 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $309.03 | $524.81 | $630.96 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $107.15 | $141.25 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $416.87 Typical High $489.78 | Professional | TC · Technical part | $251.19 | $416.87 | $489.78 |
Health New England Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $933.25 | Facility | None | $398.11 | $630.96 | $933.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $588.84 | Professional | None (both parts) | $109.65 | $173.78 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $263.03 | $416.87 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $323.59 | $575.44 |
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 $120.23 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $120.23 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $47.86 | $81.28 | $81.28 |
Where Connecticut sits
The same service costs 3.3 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
$380
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.