How much rates vary
Facilitymedian $60 · 10th to 90th $37 to $617Professionalmedian $63 · 10th to 90th $46 to $95
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 $53.70 Median $53.70 Typical High $60.26 | Facility | None | $53.70 | $53.70 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $50.12 | $53.70 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $33.11 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $21.38 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $93.33 | Professional | None (both parts) | $42.66 | $63.10 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $16.98 | $25.12 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $53.70 | Facility | None | $23.44 | $28.18 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $53.70 | $60.26 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $35.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $46.77 | Professional | TC · Technical part | $22.39 | $25.12 | $46.77 |
Community Health Options Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
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 $47.86 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $47.86 | $72.44 | $97.72 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $43.65 | $56.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $41.69 | Professional | TC · Technical part | $22.91 | $29.51 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $53.70 Median $57.54 Typical High $6,918.31 | Facility | None | $53.70 | $57.54 | $6,918.31 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $50.12 | $53.70 | $85.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $33.11 | $47.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $33.88 | Professional | TC · Technical part | $21.38 | $21.38 | $33.88 |
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 $47.86 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $47.86 | $72.44 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $45.71 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $26.92 | $41.69 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Where Maine sits
The same service costs 6.5 times more in Minnesota 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· 25th of 51
$63.10
MN $295KY $45.71
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.