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 $338.84 Median $338.84 Typical High $1,047.13 | Facility | None | $338.84 | $338.84 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $338.84 | $338.84 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $54.95 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $288.40 | $288.40 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $69.18 | $190.55 |
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 $56.23 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $77.62 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $588.84 Typical High $977.24 | Professional | TC · Technical part | $426.58 | $588.84 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $1,380.38 | Professional | None (both parts) | $371.54 | $645.65 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $77.62 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $562.34 Typical High $1,202.26 | Professional | TC · Technical part | $323.59 | $562.34 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $524.81 Median $741.31 Typical High $1,348.96 | Professional | None (both parts) | $524.81 | $741.31 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $87.10 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $630.96 Typical High $1,174.90 | Professional | TC · Technical part | $467.74 | $630.96 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $707.95 Typical High $1,479.11 | Professional | None (both parts) | $346.74 | $707.95 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $630.96 Typical High $1,288.25 | Professional | TC · Technical part | $338.84 | $630.96 | $1,288.25 |
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 $169.82 Median $169.82 Typical High $234.42 | Professional | 52 · Reduced service | $169.82 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $93.33 | Professional | 53 · Discontinued | $67.61 | $67.61 | $93.33 |
Where New Hampshire 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.
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.