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 $91.20 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $91.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $74.13 | $104.71 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $43.65 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $60.26 | $95.50 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $831.76 | Facility | None | $158.49 | $263.03 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $123.03 | $131.83 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $48.98 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $83.18 | $165.96 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $123.03 | $194.98 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $83.18 | $190.55 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $54.95 | $125.89 | $208.93 |
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 $45.71 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $45.71 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $18.20 | $28.84 | $28.84 |
Where Connecticut sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 12th of 51
$145
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.