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 $125.89 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $125.89 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $81.28 | $138.04 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $97.72 | $144.54 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $50.12 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $63.10 | $93.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $239.88 Typical High $436.52 | Facility | None | $117.49 | $239.88 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $134.90 | $194.98 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $117.49 | $234.42 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $147.91 | $190.55 | $245.47 |
Health New England Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $120.23 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $69.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $75.86 | $128.82 | $229.09 |
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 $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $63.10 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $25.70 | $39.81 | $39.81 |
Where Connecticut sits
The same service costs 3.2 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· 19th of 51
$158
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.