How much rates vary
Facilitymedian $145 · 10th to 90th $105 to $245Professionalmedian $100 · 10th to 90th $71 to $155
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 $38.90 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $38.90 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $19.50 | $48.98 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $245.47 | Facility | None | $104.71 | $144.54 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $72.44 | $107.15 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $44.67 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $63.10 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $93.33 | $102.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $64.57 | $109.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $72.44 | $102.33 | $158.49 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $42.66 | $61.66 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $43.65 | $61.66 | $97.72 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.02 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $38.02 | $87.10 | $100.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $19.50 | $48.98 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $72.44 | $95.50 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $42.66 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $52.48 | $100.00 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Where Maine sits
The same service costs 5.9 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· 16th of 51
$100
AK $245TX $41.69
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.