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 $66.07 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $66.07 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $18.20 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $47.86 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $72.44 | $144.54 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $28.18 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $52.48 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $151.36 Typical High $489.78 | Facility | None | $63.10 | $151.36 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $66.07 | $83.18 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $26.30 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $58.88 | $112.20 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $87.10 | $97.72 | $194.98 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $26.30 | $27.54 | $37.15 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $69.18 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $61.66 | $85.11 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $24.55 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $138.04 | Professional | TC · Technical part | $39.81 | $61.66 | $138.04 |
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 $33.11 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $33.11 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $19.95 | $19.95 |
Where Connecticut sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 17th of 51
$105
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.