How much rates vary
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 $309.03 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $309.03 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $389.05 | Professional | TC · Technical part | $263.03 | $380.19 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $309.03 | $426.58 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $67.61 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $363.08 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $707.95 Typical High $1,258.93 | Facility | None | $302.00 | $707.95 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $436.52 Typical High $977.24 | Professional | None (both parts) | $251.19 | $436.52 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $70.79 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $363.08 Typical High $831.76 | Professional | TC · Technical part | $177.83 | $363.08 | $831.76 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $776.25 | Professional | None (both parts) | $398.11 | $512.86 | $776.25 |
Health New England Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $269.15 | $457.09 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $56.23 | $87.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $794.33 | Professional | TC · Technical part | $234.42 | $426.58 | $794.33 |
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 $154.88 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $154.88 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $61.66 | $93.33 | $93.33 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$457
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.