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 $39.81 Median $40.74 Typical High $72.44 | Facility | None | $39.81 | $40.74 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | None (both parts) | $39.81 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $15.49 | Professional | 26 · Professional part | $14.13 | $14.79 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | TC · Technical part | $25.12 | $25.12 | $25.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $44.67 | $69.18 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $21.38 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $40.74 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $46.77 | $52.48 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $35.48 | Professional | 26 · Professional part | $16.60 | $18.62 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $29.51 | $32.36 | $63.10 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $43.65 | $53.70 | $109.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $38.02 | Professional | 26 · Professional part | $15.85 | $19.05 | $38.02 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $28.84 | $33.11 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $40.74 | $53.70 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $38.02 | Professional | 26 · Professional part | $15.14 | $19.95 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $66.07 | Professional | TC · Technical part | $25.12 | $33.88 | $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 $19.95 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Where New Hampshire 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.
New Hampshire· 9th of 51
$61.66
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.