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 $338.84 Median $512.86 Typical High $537.03 | Professional | None (both parts) | $338.84 | $512.86 | $537.03 |
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 $275.42 Median $436.52 Typical High $446.68 | Professional | TC · Technical part | $275.42 | $436.52 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $354.81 | $467.74 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $64.57 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $549.54 | Professional | TC · Technical part | $302.00 | $389.05 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $537.03 Typical High $1,318.26 | Facility | None | $281.84 | $537.03 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $1,096.48 | Professional | None (both parts) | $234.42 | $407.38 | $1,096.48 |
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 $162.18 Median $331.13 Typical High $954.99 | Professional | TC · Technical part | $162.18 | $331.13 | $954.99 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $371.54 | $501.19 | $831.76 |
Health New England Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Facility | None | $758.58 | $758.58 | $1,023.29 |
Health New England Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $346.74 | Professional | None (both parts) | $104.71 | $112.20 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $512.86 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $512.86 | $1,047.13 |
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 $229.09 Median $478.63 Typical High $891.25 | Professional | TC · Technical part | $229.09 | $478.63 | $891.25 |
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 $162.18 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $162.18 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $64.57 | $104.71 | $104.71 |
Where Connecticut sits
The same service costs 3.0 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· 19th 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.