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 $134.90 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $134.90 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $107.15 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $131.83 | $199.53 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $30.90 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $169.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $354.81 Typical High $501.19 | Facility | None | $109.65 | $354.81 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $83.18 | $194.98 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $37.15 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $162.18 Typical High $426.58 | Professional | TC · Technical part | $46.77 | $162.18 | $426.58 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $181.97 | $223.87 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $97.72 | $204.17 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $41.69 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $380.19 | Professional | TC · Technical part | $95.50 | $173.78 | $380.19 |
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 $67.61 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $67.61 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $26.92 | $39.81 | $39.81 |
Where Connecticut sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$200
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.