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 $851.14 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $851.14 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $169.82 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $691.83 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,148.15 Typical High $1,659.59 | Professional | None (both parts) | $741.31 | $1,148.15 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $213.80 Typical High $309.03 | Professional | 26 · Professional part | $154.88 | $213.80 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $912.01 Typical High $1,174.90 | Professional | TC · Technical part | $676.08 | $912.01 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,137.96 Typical High $3,311.31 | Facility | None | $851.14 | $2,137.96 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,258.93 Typical High $2,344.23 | Professional | None (both parts) | $1,096.48 | $1,258.93 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $234.42 Typical High $446.68 | Professional | 26 · Professional part | $213.80 | $234.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,023.29 Typical High $1,905.46 | Professional | TC · Technical part | $870.96 | $1,023.29 | $1,905.46 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,380.38 Typical High $2,884.03 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $954.99 Typical High $1,445.44 | Professional | None (both parts) | $524.81 | $954.99 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $269.15 Typical High $501.19 | Professional | 26 · Professional part | $177.83 | $269.15 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $676.08 Typical High $1,023.29 | Professional | TC · Technical part | $338.84 | $676.08 | $1,023.29 |
4 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 $426.58 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $426.58 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $169.82 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $125.89 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $85.11 | $134.90 | $134.90 |
Where Connecticut sits
The same service costs 9.1 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· 11th of 51
$1,259
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.