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 $138.04 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $138.04 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $114.82 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $123.03 | $177.83 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $31.62 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $354.81 Typical High $562.34 | Facility | None | $109.65 | $354.81 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $83.18 | $218.78 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $35.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $181.97 Typical High $416.87 | Professional | TC · Technical part | $46.77 | $181.97 | $416.87 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $181.97 | $239.88 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $208.93 Typical High $478.63 | Professional | None (both parts) | $100.00 | $208.93 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $41.69 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $181.97 | $407.38 |
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 $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $69.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $27.54 | $39.81 | $39.81 |
Where Connecticut sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 18th 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.