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 $37.15 Median $37.15 Typical High $52.48 | Facility | None | $37.15 | $37.15 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $37.15 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $8.13 | $8.51 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $28.18 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $32.36 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.30 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $12.30 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $31.62 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $32.36 | $39.81 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $10.96 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $28.84 | $53.70 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $89.13 | Professional | None (both parts) | $32.36 | $41.69 | $89.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $9.12 | $10.96 | $21.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $61.66 | Professional | TC · Technical part | $23.44 | $32.36 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $35.48 | $48.98 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $37.15 | $72.44 |
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 $18.20 Median $18.20 Typical High $18.62 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$43.65
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.