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 $954.99 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $954.99 | $1,096.48 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $114.82 | $128.82 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $977.24 Typical High $1,230.27 | Professional | TC · Technical part | $812.83 | $977.24 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,380.38 Typical High $2,511.89 | Professional | None (both parts) | $1,000.00 | $1,380.38 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $295.12 | Professional | 26 · Professional part | $120.23 | $165.96 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,230.27 Typical High $2,137.96 | Professional | TC · Technical part | $891.25 | $1,230.27 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,412.54 Typical High $2,951.21 | Professional | None (both parts) | $1,148.15 | $1,412.54 | $2,951.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $173.78 Typical High $354.81 | Professional | 26 · Professional part | $138.04 | $173.78 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,230.27 Typical High $2,570.40 | Professional | TC · Technical part | $1,000.00 | $1,230.27 | $2,570.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,659.59 Typical High $3,090.30 | Professional | None (both parts) | $1,122.02 | $1,659.59 | $3,090.30 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $338.84 | Professional | 26 · Professional part | $131.83 | $194.98 | $338.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,348.96 Typical High $2,454.71 | Professional | TC · Technical part | $977.24 | $1,348.96 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,548.82 Typical High $3,090.30 | Professional | None (both parts) | $1,122.02 | $1,548.82 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $208.93 Typical High $426.58 | Professional | 26 · Professional part | $141.25 | $208.93 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,412.54 Typical High $2,691.53 | Professional | TC · Technical part | $1,000.00 | $1,412.54 | $2,691.53 |
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 $467.74 Median $549.54 Typical High $588.84 | Professional | 52 · Reduced service | $467.74 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $218.78 Typical High $234.42 | Professional | 53 · Discontinued | $190.55 | $218.78 | $234.42 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$1,380
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.