How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,820 to $9,772Professionalmedian $646 · 10th to 90th $324 to $1,096
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 $1,819.70 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,819.70 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $275.42 | $323.59 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $109.65 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $190.55 | $213.80 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $660.69 Typical High $1,122.02 | Professional | None (both parts) | $389.05 | $660.69 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $154.88 Typical High $257.04 | Professional | 26 · Professional part | $93.33 | $154.88 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $302.00 | $501.19 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $575.44 Typical High $1,348.96 | Professional | None (both parts) | $467.74 | $575.44 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $269.15 | Professional | 26 · Professional part | $107.15 | $125.89 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $446.68 Typical High $1,071.52 | Professional | TC · Technical part | $302.00 | $446.68 | $1,071.52 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $426.58 Median $630.96 Typical High $1,122.02 | Professional | None (both parts) | $426.58 | $630.96 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $102.33 | $144.54 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $331.13 | $457.09 | $812.83 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $588.84 Typical High $1,122.02 | Professional | None (both parts) | $338.84 | $588.84 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $269.15 | Professional | 26 · Professional part | $97.72 | $147.91 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $457.09 Typical High $851.14 | Professional | TC · Technical part | $257.04 | $457.09 | $851.14 |
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 $138.04 Median $162.18 Typical High $229.09 | Professional | 52 · Reduced service | $138.04 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $64.57 Typical High $91.20 | Professional | 53 · Discontinued | $54.95 | $64.57 | $91.20 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$646
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.