How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,230 to $4,467Professionalmedian $1,288 · 10th to 90th $832 to $1,950
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 Facility Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $4,897.79 | Facility | None | $2,951.21 | $3,019.95 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $912.01 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $812.83 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,202.26 Typical High $1,778.28 | Professional | None (both parts) | $812.83 | $1,202.26 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $213.80 | Professional | 26 · Professional part | $107.15 | $138.04 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,047.13 Typical High $1,548.82 | Professional | TC · Technical part | $724.44 | $1,047.13 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $3,467.37 | Facility | None | $1,000.00 | $2,630.27 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,479.11 Typical High $2,691.53 | Professional | None (both parts) | $1,318.26 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $165.96 Typical High $323.59 | Professional | 26 · Professional part | $151.36 | $165.96 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,318.26 Typical High $2,398.83 | Professional | TC · Technical part | $1,174.90 | $1,318.26 | $2,398.83 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,584.89 Typical High $2,041.74 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $2,041.74 |
Health New England Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Health New England Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,584.89 Typical High $2,570.40 | Professional | None (both parts) | $912.01 | $1,584.89 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $194.98 Typical High $338.84 | Professional | 26 · Professional part | $123.03 | $194.98 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,348.96 Typical High $2,238.72 | Professional | TC · Technical part | $794.33 | $1,348.96 | $2,238.72 |
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 $457.09 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $457.09 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $181.97 | $295.12 | $295.12 |
Where Connecticut sits
The same service costs 2.9 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· 18th of 51
$1,288
AK $2,138TX $741
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.