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 $524.81 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $524.81 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $208.93 | $316.23 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $309.03 | $512.86 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $891.25 Typical High $1,202.26 | Professional | None (both parts) | $562.34 | $891.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $257.04 Typical High $467.74 | Professional | 26 · Professional part | $190.55 | $257.04 | $467.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $588.84 Typical High $812.83 | Professional | TC · Technical part | $346.74 | $588.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $1,174.90 Typical High $2,630.27 | Facility | None | $208.93 | $1,174.90 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,949.84 | Professional | None (both parts) | $363.08 | $616.60 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $588.84 | Professional | 26 · Professional part | $275.42 | $275.42 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $338.84 Typical High $1,348.96 | Professional | TC · Technical part | $91.20 | $338.84 | $1,348.96 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $562.34 | $1,202.26 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $812.83 Typical High $1,819.70 | Professional | None (both parts) | $416.87 | $812.83 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $338.84 Typical High $616.60 | Professional | 26 · Professional part | $223.87 | $338.84 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $575.44 Typical High $1,230.27 | Professional | TC · Technical part | $223.87 | $575.44 | $1,230.27 |
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 $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $251.19 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $102.33 | $165.96 | $165.96 |
Where Connecticut sits
The same service costs 3.2 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· 16th of 51
$832
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.