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 $1,548.82 Median $1,548.82 Typical High $1,949.84 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $354.81 | Professional | 26 · Professional part | $316.23 | $316.23 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,621.81 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,691.53 Typical High $4,466.84 | Professional | None (both parts) | $1,995.26 | $2,691.53 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $467.74 Typical High $812.83 | Professional | 26 · Professional part | $338.84 | $467.74 | $812.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $2,238.72 Typical High $3,548.13 | Professional | TC · Technical part | $1,621.81 | $2,238.72 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,511.89 Typical High $5,370.32 | Professional | None (both parts) | $1,862.09 | $2,511.89 | $5,370.32 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $457.09 Typical High $954.99 | Professional | 26 · Professional part | $371.54 | $457.09 | $954.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $2,041.74 Typical High $4,365.16 | Professional | TC · Technical part | $1,412.54 | $2,041.74 | $4,365.16 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,884.03 Typical High $5,370.32 | Professional | None (both parts) | $2,089.30 | $2,884.03 | $5,370.32 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $512.86 Typical High $954.99 | Professional | 26 · Professional part | $371.54 | $512.86 | $954.99 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $2,454.71 Typical High $4,570.88 | Professional | TC · Technical part | $1,778.28 | $2,454.71 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,951.21 Typical High $6,456.54 | Professional | None (both parts) | $1,905.46 | $2,951.21 | $6,456.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $549.54 Typical High $1,148.15 | Professional | 26 · Professional part | $354.81 | $549.54 | $1,148.15 |
United Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,511.89 Typical High $5,248.07 | Professional | TC · Technical part | $1,548.82 | $2,511.89 | $5,248.07 |
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 $776.25 Median $776.25 Typical High $977.24 | Professional | 52 · Reduced service | $776.25 | $776.25 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 53 · Discontinued | $316.23 | $316.23 | $389.05 |
Where New Hampshire sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$2,692
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.