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 $141.25 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $141.25 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $60.26 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $123.03 | $181.97 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $100.00 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $51.29 | $79.43 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $489.78 | Facility | None | $190.55 | $263.03 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $190.55 | $199.53 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $104.71 | $114.82 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $87.10 | $186.21 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $181.97 | $223.87 | $309.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $144.54 | $229.09 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $85.11 | $134.90 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $102.33 | $177.83 |
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 $69.18 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $69.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $28.18 | $42.66 | $42.66 |
Where Connecticut sits
The same service costs 3.6 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· 17th of 51
$195
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.