How much rates vary
Facilitymedian $501 · 10th to 90th $166 to $708Professionalmedian $295 · 10th to 90th $209 to $437
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 $234.42 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $234.42 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $97.72 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $154.88 | $173.78 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $199.53 | $295.12 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $107.15 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $190.55 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $316.23 Typical High $1,412.54 | Facility | None | $141.25 | $316.23 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $295.12 | $323.59 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $104.71 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $223.87 | $302.00 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $707.95 | Facility | None | $338.84 | $524.81 | $707.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $229.09 | $288.40 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $112.20 | $147.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $138.04 | $177.83 | $251.19 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $223.87 | $275.42 | $398.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $97.72 | $151.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $147.91 | $173.78 | $239.88 |
United Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $707.95 | Facility | None | $338.84 | $524.81 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $229.09 | $302.00 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $120.23 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $177.83 | $316.23 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Where Maine sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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.
Maine· 21st of 51
$295
WI $708UT $135
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.