How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $182Professionalmedian $42 · 10th to 90th $9 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 Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $24.55 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $11.48 | Professional | 26 · Professional part | $7.76 | $10.72 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $16.60 | $20.89 | $20.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $26.92 | Professional | None (both parts) | $9.33 | $9.33 | $26.92 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $13.80 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $26.92 | Professional | TC · Technical part | $21.88 | $21.88 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $85.11 | Professional | None (both parts) | $35.48 | $40.74 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $28.84 | Professional | 26 · Professional part | $12.02 | $13.80 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $26.92 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $20.89 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $20.89 | $51.29 | $100.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $15.85 | $30.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $83.18 | Professional | TC · Technical part | $22.39 | $41.69 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $154.88 | Professional | None (both parts) | $47.86 | $66.07 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.13 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $14.13 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $125.89 | Professional | TC · Technical part | $38.90 | $54.95 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
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 $12.02 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.02 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $4.90 | $6.31 | $6.31 |
Where New Hampshire sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 30th of 51
$40.74
AK $110FL $23.44
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.