How much rates vary
Facilitymedian $129 · 10th to 90th $71 to $490Professionalmedian $45 · 10th to 90th $32 to $68
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 $102.33 Median $128.82 Typical High $134.90 | Facility | None | $102.33 | $128.82 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $51.29 Typical High $52.48 | Professional | None (both parts) | $30.20 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $11.48 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $39.81 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $39.81 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $28.84 | $38.02 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $10.23 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $20.89 | $27.54 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $489.78 | Facility | None | $53.70 | $91.20 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $39.81 | $44.67 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $11.22 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $48.98 | Professional | TC · Technical part | $28.84 | $33.88 | $48.98 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $45.71 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $45.71 | $91.20 | $91.20 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $14.13 | Professional | 26 · Professional part | $10.00 | $12.30 | $14.13 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $45.71 | Professional | TC · Technical part | $26.92 | $40.74 | $45.71 |
Health New England Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $389.05 | Facility | None | $281.84 | $288.40 | $389.05 |
Health New England Setting Professional Modifier None (both parts) Typical Low $17.78 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $17.78 | $44.67 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $35.48 | $45.71 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $20.89 | Professional | 26 · Professional part | $8.13 | $10.47 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $35.48 | $67.61 |
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 $13.80 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $13.80 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $5.62 | $10.23 | $10.23 |
Where Connecticut sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 12th of 51
$44.67
MN $67.61TX $26.92
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.