How much rates vary
Facilitymedian $4,898 · 10th to 90th $3,548 to $8,318Professionalmedian $977 · 10th to 90th $316 to $1,660
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $512.86 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $208.93 | Professional | 26 · Professional part | $66.07 | $79.43 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $302.00 | $1,071.52 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,897.79 Typical High $8,317.64 | Facility | None | $3,548.13 | $4,897.79 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $269.15 | $316.23 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $107.15 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $1,071.52 | Professional | TC · Technical part | $162.18 | $234.42 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,288.25 Typical High $2,290.87 | Professional | None (both parts) | $1,202.26 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $87.10 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,202.26 Typical High $2,137.96 | Professional | TC · Technical part | $1,122.02 | $1,202.26 | $2,137.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $977.24 Typical High $1,659.59 | Professional | None (both parts) | $389.05 | $977.24 | $1,659.59 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $70.79 | $138.04 | $239.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $891.25 Typical High $1,548.82 | Professional | TC · Technical part | $234.42 | $891.25 | $1,548.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,071.52 Typical High $1,148.15 | Professional | None (both parts) | $512.86 | $1,071.52 | $1,148.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $208.93 | Professional | 26 · Professional part | $66.07 | $79.43 | $208.93 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $1,023.29 Typical High $1,071.52 | Professional | TC · Technical part | $302.00 | $1,023.29 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,380.38 Typical High $2,290.87 | Professional | None (both parts) | $977.24 | $1,380.38 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $93.33 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,288.25 Typical High $2,187.76 | Professional | TC · Technical part | $891.25 | $1,288.25 | $2,187.76 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Where Maine sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 27th of 51
$977
AK $2,754OR $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.