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 $190.55 Median $190.55 Typical High $263.03 | Facility | None | $190.55 | $190.55 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $131.83 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $57.54 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $112.20 | $165.96 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $91.20 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $50.12 | $72.44 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $831.76 | Facility | None | $239.88 | $281.84 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $173.78 | $190.55 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $102.33 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $89.13 | $158.49 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $169.82 | $218.78 | $281.84 |
Health New England Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,479.11 | Facility | None | $1,148.15 | $1,148.15 | $1,479.11 |
Health New England Setting Professional Modifier None (both parts) Typical Low $165.96 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $165.96 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $138.04 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $79.43 | $123.03 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $64.57 | $102.33 | $181.97 |
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 $63.10 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $63.10 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $25.12 | $41.69 | $41.69 |
Where Connecticut sits
The same service costs 4.0 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· 15th of 51
$186
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.