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 $141.25 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $141.25 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $24.55 | $26.30 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $117.49 Typical High $131.83 | Professional | TC · Technical part | $114.82 | $117.49 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $128.82 | $147.91 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $26.30 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $120.23 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $1,047.13 | Facility | None | $316.23 | $645.65 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $162.18 | $213.80 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $32.36 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $138.04 | $181.97 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $162.18 | $251.19 | $489.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $38.02 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $138.04 | $213.80 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $173.78 | $251.19 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $147.91 | $218.78 | $371.54 |
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 $72.44 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.90 |
Where New Hampshire sits
The same service costs 3.8 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· 13th of 51
$209
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.