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 $380.19 Median $588.84 Typical High $602.56 | Professional | None (both parts) | $380.19 | $588.84 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $81.28 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $467.74 Typical High $478.63 | Professional | TC · Technical part | $295.12 | $467.74 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $398.11 | $537.03 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $102.33 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $426.58 Typical High $630.96 | Professional | TC · Technical part | $316.23 | $426.58 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $707.95 Typical High $1,380.38 | Facility | None | $302.00 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $1,230.27 | Professional | None (both parts) | $331.13 | $489.78 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $112.20 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $112.20 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $380.19 Typical High $1,000.00 | Professional | TC · Technical part | $213.80 | $380.19 | $1,000.00 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $446.68 Median $741.31 Typical High $977.24 | Professional | None (both parts) | $446.68 | $741.31 | $977.24 |
Health New England Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $575.44 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $575.44 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $85.11 | $134.90 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $501.19 Typical High $933.25 | Professional | TC · Technical part | $275.42 | $501.19 | $933.25 |
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 $186.21 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $186.21 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $75.86 | $117.49 | $117.49 |
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
$562
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.