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 $478.63 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $478.63 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $389.05 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $645.65 Typical High $891.25 | Professional | None (both parts) | $478.63 | $645.65 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $100.00 | $134.90 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $512.86 Typical High $724.44 | Professional | TC · Technical part | $371.54 | $512.86 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $1,862.09 | Facility | None | $489.78 | $1,258.93 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $645.65 Typical High $1,548.82 | Professional | None (both parts) | $630.96 | $645.65 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $151.36 Typical High $309.03 | Professional | 26 · Professional part | $147.91 | $151.36 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $501.19 Typical High $1,230.27 | Professional | TC · Technical part | $489.78 | $501.19 | $1,230.27 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $588.84 Median $912.01 Typical High $1,174.90 | Professional | None (both parts) | $588.84 | $912.01 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $794.33 Typical High $1,479.11 | Professional | None (both parts) | $524.81 | $794.33 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $177.83 Typical High $323.59 | Professional | 26 · Professional part | $117.49 | $177.83 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $630.96 Typical High $1,174.90 | Professional | TC · Technical part | $407.38 | $630.96 | $1,174.90 |
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 $251.19 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $251.19 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $144.54 | $144.54 |
Where Connecticut sits
The same service costs 3.1 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· 16th of 51
$724
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.