How much rates vary
Facilitymedian $525 · 10th to 90th $501 to $708Professionalmedian $224 · 10th to 90th $155 to $363
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 $169.82 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $169.82 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $51.29 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $120.23 | $158.49 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $154.88 | $234.42 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $56.23 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $181.97 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $707.95 Typical High $2,290.87 | Facility | None | $691.83 | $707.95 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $239.88 | $281.84 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $57.54 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $223.87 | $295.12 |
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 $151.36 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $151.36 | $199.53 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $60.26 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $144.54 | $234.42 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $162.18 | $208.93 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $51.29 | $66.07 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $158.49 | $204.17 |
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 $141.25 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $141.25 | $186.21 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $63.10 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $309.03 | Professional | TC · Technical part | $89.13 | $114.82 | $309.03 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Where Maine sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$234
AK $759TX $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.