How much rates vary
Facilitymedian $363 · 10th to 90th $191 to $1,047Professionalmedian $209 · 10th to 90th $132 to $302
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 $151.36 Median $229.09 Typical High $234.42 | Professional | None (both parts) | $151.36 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $95.50 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $134.90 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $154.88 | $208.93 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $83.18 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $93.33 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $724.44 | Facility | None | $190.55 | $363.08 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $190.55 | $218.78 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $93.33 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $125.89 | $190.55 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $199.53 | $251.19 | $281.84 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $100.00 | $112.20 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $169.82 | Professional | TC · Technical part | $117.49 | $147.91 | $169.82 |
Health New England Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Health New England Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $125.89 | $125.89 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $154.88 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $87.10 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $114.82 | $234.42 |
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 $72.44 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $72.44 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $28.84 | $45.71 | $45.71 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$209
AK $331TX $91.20
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.