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 $61.66 Median $61.66 Typical High $144.54 | Facility | None | $61.66 | $61.66 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $60.26 | $61.66 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $28.84 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $32.36 | $33.11 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $85.11 | $114.82 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $42.66 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $79.43 | Professional | TC · Technical part | $40.74 | $60.26 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $74.13 | $85.11 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $36.31 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $102.33 | Professional | TC · Technical part | $42.66 | $47.86 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $173.78 | Professional | None (both parts) | $67.61 | $81.28 | $173.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $31.62 | $38.02 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $44.67 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $61.66 | $81.28 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $38.02 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $32.36 | $44.67 | $83.18 |
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 $30.20 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.30 | $12.30 |
Where New Hampshire 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.
New Hampshire· 9th of 51
$102
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.