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 Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $66.07 | $66.07 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $33.88 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $33.11 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $107.15 | $147.91 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $46.77 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $100.00 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $87.10 | $141.25 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $47.86 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $218.78 | Professional | TC · Technical part | $60.26 | $93.33 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $112.20 | $162.18 | $323.59 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $52.48 | $95.50 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $104.71 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $85.11 | $154.88 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $56.23 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $53.70 | $100.00 | $204.17 |
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 $33.11 Median $33.11 Typical High $52.48 | Professional | 52 · Reduced service | $33.11 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $20.89 | Professional | 53 · Discontinued | $13.18 | $13.18 | $20.89 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$148
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.