How much rates vary
Facilitymedian $214 · 10th to 90th $117 to $724Professionalmedian $74 · 10th to 90th $41 to $132
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 $45.71 Median $87.10 Typical High $89.13 | Professional | None (both parts) | $45.71 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $17.78 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $70.79 | Professional | TC · Technical part | $33.88 | $69.18 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $41.69 | $61.66 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $12.88 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $43.65 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $724.44 | Facility | None | $83.18 | $154.88 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $74.13 Typical High $107.15 | Professional | None (both parts) | $60.26 | $74.13 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $19.95 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $83.18 | Professional | TC · Technical part | $45.71 | $54.95 | $83.18 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $53.70 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $53.70 | $91.20 | $102.33 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $12.30 | $20.42 | $22.39 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $79.43 | Professional | TC · Technical part | $41.69 | $70.79 | $79.43 |
Health New England Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $707.95 | Facility | None | $389.05 | $446.68 | $707.95 |
Health New England Setting Professional Modifier None (both parts) Typical Low $8.51 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $8.51 | $100.00 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $56.23 | $75.86 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $30.20 | Professional | 26 · Professional part | $12.59 | $17.38 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $44.67 | $60.26 | $114.82 |
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 $21.38 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $21.38 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $8.51 | $17.38 | $17.38 |
Where Connecticut sits
The same service costs 3.3 times more in Minnesota 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· 12th of 51
$74.13
MN $105UT $31.62
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.