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 $147.91 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $147.91 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $89.13 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $64.57 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $154.88 | $213.80 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $91.20 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $169.82 | $213.80 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $97.72 | $120.23 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $91.20 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $169.82 | $239.88 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $245.47 | Professional | 26 · Professional part | $95.50 | $138.04 | $245.47 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $102.33 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $181.97 | $251.19 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $97.72 | $147.91 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $107.15 | $213.80 |
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 $74.13 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $74.13 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $29.51 | $30.20 | $31.62 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$214
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.