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 $151.36 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $151.36 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $75.86 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $70.79 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $144.54 | $190.55 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $93.33 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $104.71 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $173.78 Typical High $489.78 | Facility | None | $79.43 | $173.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $436.52 | Professional | None (both parts) | $141.25 | $173.78 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $102.33 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $72.44 Typical High $223.87 | Professional | TC · Technical part | $38.02 | $72.44 | $223.87 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $162.18 | $251.19 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $144.54 | $229.09 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $123.03 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $56.23 | $125.89 | $251.19 |
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 $75.86 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $75.86 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $48.98 | $48.98 |
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
$204
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.