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 $109.65 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $109.65 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $93.33 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $46.77 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $93.33 | $138.04 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $77.62 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $60.26 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $489.78 | Facility | None | $199.53 | $281.84 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $147.91 | $158.49 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $85.11 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $74.13 | $131.83 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $141.25 | $173.78 | $234.42 |
Health New England Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $114.82 | $181.97 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $104.71 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $85.11 | $151.36 |
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 $52.48 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $20.89 | $35.48 | $35.48 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 17th of 51
$155
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.