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 $338.84 Median $338.84 Typical High $457.09 | Facility | None | $338.84 | $338.84 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $446.68 | Professional | None (both parts) | $239.88 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $147.91 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $147.91 | Professional | TC · Technical part | $89.13 | $144.54 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $204.17 | $295.12 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $181.97 Typical High $269.15 | Professional | 26 · Professional part | $123.03 | $181.97 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $114.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $831.76 | Facility | None | $338.84 | $446.68 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $316.23 | $354.81 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $204.17 Typical High $416.87 | Professional | 26 · Professional part | $194.98 | $204.17 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $151.36 | $257.04 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $302.00 | $389.05 | $512.86 |
Health New England Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $3,090.30 | Facility | None | $467.74 | $933.25 | $3,090.30 |
Health New England Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $1,621.81 | Professional | None (both parts) | $331.13 | $331.13 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $251.19 | $407.38 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $245.47 Typical High $426.58 | Professional | 26 · Professional part | $154.88 | $245.47 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $104.71 | $165.96 | $288.40 |
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 $117.49 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $117.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $46.77 | $72.44 | $72.44 |
Where Connecticut sits
The same service costs 3.3 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
$331
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.