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 $4,677.35 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,677.35 | $6,760.83 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,000.00 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $125.89 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $870.96 | $954.99 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,466.84 | $7,762.47 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $977.24 Typical High $4,466.84 | Professional | None (both parts) | $691.83 | $977.24 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $18.62 | $56.23 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $562.34 Typical High $1,698.24 | Professional | TC · Technical part | $426.58 | $562.34 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
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 $501.19 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $501.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $199.53 | $213.80 | $213.80 |
Where Connecticut sits
The same service costs 56.2 times more in Nebraska than in Montana. 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· 36th of 51
$977
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.