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 $72.44 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $72.44 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $25.70 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $52.48 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $245.47 | Professional | None (both parts) | $58.88 | $81.28 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $15.85 | $20.89 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $218.78 | Professional | TC · Technical part | $42.66 | $60.26 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $489.78 | Facility | None | $138.04 | $208.93 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $83.18 | $125.89 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $23.44 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $61.66 | $102.33 | $162.18 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $89.13 Median $199.53 Typical High $204.17 | Professional | None (both parts) | $89.13 | $199.53 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $67.61 | $117.49 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $18.20 | $28.18 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $48.98 | $93.33 | $144.54 |
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 $34.67 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $34.67 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $13.80 | $37.15 | $37.15 |
Where Connecticut 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.
Connecticut· 19th of 51
$102
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.