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 $109.65 Typical High $109.65 | Professional | None (both parts) | $72.44 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $39.81 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $67.61 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $36.31 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $43.65 | $63.10 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $151.36 Typical High $288.40 | Facility | None | $60.26 | $151.36 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $229.09 | Professional | None (both parts) | $79.43 | $100.00 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $38.90 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $40.74 | $61.66 | $144.54 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $93.33 | $131.83 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $72.44 | $114.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $47.86 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $43.65 | $77.62 | $141.25 |
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 $36.31 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $36.31 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $14.45 | $21.88 | $21.88 |
Where Connecticut sits
The same service costs 3.0 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· 15th of 51
$110
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.