How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $10.72 Median $10.72 Typical High $13.49 | Professional | None (both parts) | $10.72 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $4.68 Typical High $5.37 | Professional | 26 · Professional part | $4.68 | $4.68 | $5.37 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $6.17 Typical High $8.13 | Professional | TC · Technical part | $6.17 | $6.17 | $8.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $52.48 | Professional | None (both parts) | $37.15 | $48.98 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $15.85 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $21.88 Typical High $28.84 | Professional | TC · Technical part | $10.96 | $21.88 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $40.74 | Professional | None (both parts) | $20.89 | $20.89 | $40.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $17.38 | Professional | 26 · Professional part | $8.71 | $8.71 | $17.38 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $23.44 | Professional | TC · Technical part | $12.02 | $12.02 | $23.44 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.20 Typical High $53.70 | Professional | None (both parts) | $21.88 | $30.20 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $13.49 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $17.78 Typical High $30.90 | Professional | TC · Technical part | $12.59 | $17.78 | $30.90 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $19.05 | $19.05 | $19.05 |
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 $5.37 Median $5.37 Typical High $6.76 | Professional | 52 · Reduced service | $5.37 | $5.37 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.69 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.69 |
Where New Hampshire sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 4th of 51
$37.15
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.