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 $562.34 Median $562.34 Typical High $588.84 | Facility | None | $562.34 | $562.34 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $107.15 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $104.71 | $141.25 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $58.88 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $81.28 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $186.21 Typical High $295.12 | Facility | None | $83.18 | $186.21 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $309.03 | Professional | None (both parts) | $112.20 | $120.23 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $64.57 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $173.78 | Professional | TC · Technical part | $48.98 | $58.88 | $173.78 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $112.20 | $186.21 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $102.33 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $51.29 | $79.43 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $51.29 | $93.33 | $173.78 |
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 $53.70 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $53.70 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.38 | $34.67 | $34.67 |
Where Connecticut sits
The same service costs 3.9 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.
Connecticut· 16th of 51
$151
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.