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 $114.82 Typical High $114.82 | Professional | None (both parts) | $72.44 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $41.69 | $69.18 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $77.62 | $114.82 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $38.90 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $45.71 | $79.43 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $144.54 Typical High $489.78 | Facility | None | $36.31 | $144.54 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $288.40 | Professional | None (both parts) | $61.66 | $87.10 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $44.67 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $43.65 Typical High $194.98 | Professional | TC · Technical part | $17.38 | $43.65 | $194.98 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $79.43 | $141.25 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $128.82 Typical High $281.84 | Professional | None (both parts) | $67.61 | $128.82 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $32.36 | $91.20 | $194.98 |
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 $35.48 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $35.48 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $14.45 | $23.44 | $23.44 |
Where Connecticut sits
The same service costs 3.5 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· 22nd of 51
$115
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.