How much rates vary
Facilitymedian $282 · 10th to 90th $95 to $724Professionalmedian $85 · 10th to 90th $50 to $129
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 $58.88 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $58.88 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $32.36 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $41.69 | $89.13 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $35.48 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $52.48 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $724.44 | Facility | None | $95.50 | $147.91 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $77.62 | $83.18 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $38.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $38.02 | $45.71 | $75.86 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $85.11 | $91.20 | $141.25 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $40.74 | $47.86 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $70.79 | Professional | TC · Technical part | $47.86 | $51.29 | $70.79 |
Health New England Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Health New England Setting Professional Modifier None (both parts) Typical Low $25.12 Median $50.12 Typical High $56.23 | Professional | None (both parts) | $25.12 | $50.12 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $58.88 | $77.62 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $37.15 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $85.11 | Professional | TC · Technical part | $30.90 | $40.74 | $85.11 |
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 $29.51 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $11.75 | $16.98 | $16.98 |
Where Connecticut sits
The same service costs 3.6 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· 15th of 51
$85.11
MN $141TX $38.90
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.