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 $69.18 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $69.18 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.78 Typical High $19.50 | Professional | 26 · Professional part | $17.38 | $17.78 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $67.61 | $93.33 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $18.20 | $24.55 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $67.61 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $257.04 | Professional | None (both parts) | $77.62 | $97.72 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $25.12 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $70.79 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $74.13 | $112.20 | $229.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $19.95 | $28.18 | $50.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $81.28 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $70.79 | $123.03 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $63.10 | Professional | 26 · Professional part | $20.89 | $30.20 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $100.00 | $169.82 |
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 $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $34.67 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $13.80 | $28.18 | $28.18 |
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· 13th of 51
$112
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.