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 Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $147.91 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $29.51 | Professional | 26 · Professional part | $26.92 | $27.54 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $123.03 | $138.04 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $151.36 | $208.93 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $38.02 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $123.03 | $169.82 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $151.36 | $218.78 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $38.90 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $457.09 | Professional | TC · Technical part | $125.89 | $181.97 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $165.96 | $234.42 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $30.20 | $43.65 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $138.04 | $190.55 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $141.25 | $234.42 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $45.71 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $190.55 | $389.05 |
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 $72.44 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $72.44 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $29.51 | $33.11 | $33.11 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$209
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.