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 Professional Modifier None (both parts) Typical Low $38.02 Median $56.23 Typical High $57.54 | Professional | None (both parts) | $38.02 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $20.42 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $37.15 | Professional | TC · Technical part | $24.55 | $35.48 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $38.90 | $53.70 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $13.80 | $17.78 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $35.48 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $489.78 | Facility | None | $57.54 | $97.72 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $47.86 | $53.70 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $17.38 | $19.95 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $33.88 | $50.12 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $70.79 | Professional | None (both parts) | $50.12 | $58.88 | $70.79 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $23.99 | Professional | 26 · Professional part | $16.98 | $20.89 | $23.99 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $47.86 | Professional | TC · Technical part | $33.11 | $38.02 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $102.33 | Professional | None (both parts) | $38.90 | $50.12 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $36.31 | Professional | 26 · Professional part | $14.45 | $18.62 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $66.07 | Professional | TC · Technical part | $23.44 | $31.62 | $66.07 |
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 $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $18.20 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $7.24 | $11.22 | $11.22 |
Where Connecticut sits
The same service costs 2.7 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· 15th of 51
$53.70
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.