How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $97.72 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $97.72 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $37.15 | $38.02 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $64.57 | Professional | TC · Technical part | $58.88 | $61.66 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $38.02 | $144.54 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $69.18 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $83.18 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $112.20 | $138.04 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $52.48 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $83.18 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $66.07 Median $158.49 Typical High $398.11 | Professional | None (both parts) | $66.07 | $158.49 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $58.88 | $107.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $389.05 | Professional | TC · Technical part | $70.79 | $128.82 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $380.19 Typical High $812.83 | Professional | None (both parts) | $120.23 | $380.19 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $316.23 Typical High $676.08 | Professional | TC · Technical part | $177.83 | $316.23 | $676.08 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $50.12 | Facility | 26 · Professional part | $31.62 | $37.15 | $50.12 |
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 $48.98 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $19.95 | $20.89 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$138
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.