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 $138.04 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $28.84 | Professional | 26 · Professional part | $25.70 | $27.54 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $109.65 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $134.90 | $186.21 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $35.48 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $109.65 | $151.36 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $147.91 | $199.53 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $37.15 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $162.18 | $389.05 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $147.91 | $218.78 | $457.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $41.69 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $131.83 | $223.87 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $45.71 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $177.83 | $363.08 |
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 $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $31.62 | $31.62 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$186
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.