How much rates vary
Professionalmedian $479 · 10th to 90th $316 to $832
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 $281.84 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $281.84 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $199.53 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $295.12 | $446.68 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $104.71 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $660.69 | Professional | TC · Technical part | $223.87 | $346.74 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $309.03 | $630.96 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $107.15 | $123.03 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $512.86 Typical High $691.83 | Professional | TC · Technical part | $218.78 | $512.86 | $691.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $776.25 | Professional | None (both parts) | $354.81 | $489.78 | $776.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $112.20 | $123.03 | $181.97 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $588.84 | Professional | TC · Technical part | $234.42 | $371.54 | $588.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $281.84 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $281.84 | $478.63 | $478.63 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $194.98 | $363.08 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $331.13 | $416.87 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $95.50 | $128.82 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $707.95 | Professional | TC · Technical part | $234.42 | $281.84 | $707.95 |
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 $162.18 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $162.18 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $66.07 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $79.43 | $95.50 | $95.50 |
Where Maine sits
The same service costs 6.5 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.
Maine· 18th of 51
$479
AK $1,413KY $219
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.