How much rates vary
Facilitymedian $891 · 10th to 90th $363 to $891Professionalmedian $148 · 10th to 90th $115 to $219
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 $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $125.89 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | TC · Technical part | $72.44 | $72.44 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $776.25 | Facility | None | $331.13 | $457.09 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $112.20 | $158.49 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $141.25 | $151.36 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $70.79 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $77.62 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $83.18 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $83.18 | $162.18 | $218.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $83.18 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $87.10 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $125.89 | $138.04 | $190.55 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | TC · Technical part | $72.44 | $72.44 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $114.82 | $165.96 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $83.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $83.18 | $117.49 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
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· 24th of 51
$155
AK $447TX $79.43
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.