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 $134.90 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $134.90 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $87.10 | Professional | 26 · Professional part | $75.86 | $81.28 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $54.95 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $162.18 | $223.87 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $112.20 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $112.20 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $478.63 | Professional | None (both parts) | $162.18 | $223.87 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $112.20 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $69.18 | $109.65 | $245.47 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $89.13 | $186.21 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $281.84 | Professional | 26 · Professional part | $87.10 | $120.23 | $281.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $128.82 Typical High $309.03 | Professional | TC · Technical part | $60.26 | $128.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $162.18 | $281.84 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $281.84 | Professional | 26 · Professional part | $93.33 | $134.90 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $309.03 | Professional | TC · Technical part | $81.28 | $147.91 | $309.03 |
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 $67.61 Median $67.61 Typical High $87.10 | Professional | 52 · Reduced service | $67.61 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $26.92 | $26.92 | $34.67 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$224
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.