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 $83.18 Median $83.18 Typical High $91.20 | Professional | None (both parts) | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $42.66 | $45.71 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $37.15 | $37.15 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $91.20 | $123.03 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $60.26 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $63.10 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $93.33 | $125.89 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $61.66 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $61.66 Typical High $131.83 | Professional | TC · Technical part | $36.31 | $61.66 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $281.84 | Professional | None (both parts) | $77.62 | $125.89 | $281.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $69.18 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $69.18 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $87.10 | $141.25 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $50.12 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $40.74 | $69.18 | $138.04 |
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 $40.74 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $40.74 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.20 |
Where New Hampshire sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$123
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.