How much rates vary
Facilitymedian $437 · 10th to 90th $316 to $741Professionalmedian $120 · 10th to 90th $91 to $186
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 $107.15 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $67.61 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $28.84 | $28.84 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $741.31 | Facility | None | $316.23 | $436.52 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $89.13 | $131.83 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $95.50 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $35.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $114.82 | $125.89 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $85.11 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $37.15 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $95.50 | $138.04 | $186.21 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $95.50 | $131.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $36.31 | $56.23 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | None (both parts) | $107.15 | $107.15 | $123.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $79.43 | Professional | 26 · Professional part | $66.07 | $77.62 | $79.43 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $28.84 | $28.84 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $91.20 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $95.50 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $32.36 | $56.23 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Where Maine sits
The same service costs 5.2 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· 22nd of 51
$126
AK $309TX $58.88
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.