How much rates vary
Facilitymedian $275 · 10th to 90th $123 to $759Professionalmedian $174 · 10th to 90th $115 to $316
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 $120.23 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $120.23 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $85.11 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $87.10 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $104.71 | $165.96 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $74.13 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $53.70 | $83.18 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $275.42 Typical High $758.58 | Facility | None | $123.03 | $275.42 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $169.82 | $239.88 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $87.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $158.49 | $229.09 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $144.54 | $223.87 | $288.40 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $69.18 | $89.13 | $100.00 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $147.91 | $190.55 |
Health New England Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $114.82 | $190.55 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $79.43 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $102.33 | $169.82 |
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 $54.95 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $33.88 | $33.88 |
Where Connecticut sits
The same service costs 4.6 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· 20th of 51
$174
AK $316UT $69.18
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.