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 $309.03 Median $309.03 Typical High $851.14 | Facility | None | $309.03 | $309.03 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $309.03 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $42.66 | $44.67 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $263.03 | $263.03 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $398.11 | $549.54 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $44.67 | $61.66 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $489.78 Typical High $812.83 | Professional | TC · Technical part | $354.81 | $489.78 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $1,122.02 | Professional | None (both parts) | $426.58 | $537.03 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $478.63 Typical High $1,000.00 | Professional | TC · Technical part | $363.08 | $478.63 | $1,000.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $436.52 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $436.52 | $602.56 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $70.79 | $125.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $512.86 Typical High $977.24 | Professional | TC · Technical part | $389.05 | $512.86 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $1,202.26 | Professional | None (both parts) | $407.38 | $588.84 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $51.29 | $77.62 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $512.86 Typical High $1,047.13 | Professional | TC · Technical part | $354.81 | $512.86 | $1,047.13 |
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 $154.88 Median $154.88 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | 53 · Discontinued | $61.66 | $61.66 | $74.13 |
Where New Hampshire sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$550
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.