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 $67.61 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $67.61 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $46.77 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $69.18 | $131.83 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $20.89 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $91.20 Typical High $123.03 | Professional | TC · Technical part | $47.86 | $91.20 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $186.21 Typical High $213.80 | Facility | None | $70.79 | $186.21 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $89.13 | $109.65 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $33.11 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $61.66 | $77.62 | $109.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $79.43 | $104.71 | $134.90 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $31.62 | $40.74 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $72.44 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $75.86 | $102.33 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $29.51 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $53.70 | $72.44 | $141.25 |
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 $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $33.11 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $13.49 | $20.89 | $20.89 |
Where Connecticut sits
The same service costs 4.9 times more in Nebraska 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· 8th of 51
$112
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.