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 $39.81 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $39.81 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $11.75 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $28.18 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $60.26 | $77.62 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $18.20 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $35.48 | $52.48 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $52.48 | $56.23 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $15.49 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $40.74 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $52.48 | $56.23 | $120.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $33.11 | Professional | 26 · Professional part | $13.49 | $16.22 | $33.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $87.10 | Professional | TC · Technical part | $38.90 | $41.69 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $57.54 Typical High $104.71 | Professional | None (both parts) | $42.66 | $57.54 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $33.11 | Professional | 26 · Professional part | $13.18 | $16.98 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $29.51 | $41.69 | $72.44 |
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 $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.94 | $8.71 | $8.71 |
Where New Hampshire sits
The same service costs 2.9 times more in Alaska 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
$70.79
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.