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 $147.91 Typical High $181.97 | Professional | None (both parts) | $138.04 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $27.54 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $114.82 | $120.23 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $169.82 | $234.42 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $37.15 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $144.54 | $194.98 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $147.91 | $239.88 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $38.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $208.93 Typical High $457.09 | Professional | TC · Technical part | $114.82 | $208.93 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $181.97 | $257.04 | $457.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $41.69 | $75.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $208.93 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $134.90 | $218.78 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $44.67 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $44.67 | $91.20 |
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 $74.13 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $30.20 | $36.31 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$234
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.