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 $63.10 Median $63.10 Typical High $91.20 | Facility | None | $63.10 | $63.10 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $63.10 | $63.10 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $12.30 | $14.79 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $48.98 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $43.65 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $51.29 | $70.79 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $15.14 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $48.98 Typical High $64.57 | Professional | TC · Technical part | $33.11 | $48.98 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $46.77 | $60.26 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $28.18 | Professional | 26 · Professional part | $11.75 | $14.45 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $81.28 | Professional | TC · Technical part | $34.67 | $45.71 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $47.86 | $69.18 | $134.90 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $28.18 | Professional | 26 · Professional part | $11.48 | $15.49 | $28.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $36.31 | $53.70 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $56.23 | $81.28 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.38 Typical High $33.88 | Professional | 26 · Professional part | $11.75 | $17.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $44.67 | $63.10 | $128.82 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$64.57
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.