How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $87.10 | $123.03 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $31.62 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $45.71 | $67.61 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $77.62 | $93.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $29.51 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $63.10 | $128.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $74.13 | $97.72 | $190.55 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $29.51 | $58.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $69.18 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $81.28 | $104.71 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $31.62 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $74.13 | $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 $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$97.72
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.