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 $181.97 Median $181.97 Typical High $275.42 | Facility | None | $181.97 | $181.97 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $120.23 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $64.57 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $120.23 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $120.23 | $138.04 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $67.61 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $69.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $489.78 Typical High $645.65 | Facility | None | $269.15 | $489.78 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $131.83 | $177.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $85.11 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $66.07 | $91.20 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $128.82 | $199.53 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $100.00 | $190.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $102.33 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $138.04 | $218.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $100.00 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $112.20 | $181.97 |
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 $60.26 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $60.26 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $23.99 | $36.31 | $36.31 |
Where New Hampshire 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.
New Hampshire· 18th 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.