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 Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $371.54 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $85.11 | $87.10 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $281.84 | $281.84 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $478.63 | $660.69 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $537.03 Typical High $891.25 | Professional | TC · Technical part | $389.05 | $537.03 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $630.96 Typical High $1,348.96 | Professional | None (both parts) | $407.38 | $630.96 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $97.72 | $120.23 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $524.81 Typical High $1,096.48 | Professional | TC · Technical part | $288.40 | $524.81 | $1,096.48 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $524.81 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $524.81 | $691.83 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $97.72 | $134.90 | $245.47 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $562.34 Typical High $1,071.52 | Professional | TC · Technical part | $426.58 | $562.34 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $676.08 Typical High $1,412.54 | Professional | None (both parts) | $416.87 | $676.08 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $295.12 | Professional | 26 · Professional part | $97.72 | $144.54 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $549.54 Typical High $1,096.48 | Professional | TC · Technical part | $323.59 | $549.54 | $1,096.48 |
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 $186.21 Typical High $257.04 | Professional | 52 · Reduced service | $186.21 | $186.21 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | 53 · Discontinued | $74.13 | $74.13 | $104.71 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$661
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.