How much rates vary
Professionalmedian $38 · 10th to 90th $29 to $56
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $19.50 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $37.15 | $37.15 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | TC · Technical part | $19.50 | $19.50 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $53.70 Typical High $56.23 | Professional | None (both parts) | $30.90 | $53.70 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $25.12 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $28.18 Typical High $29.51 | Professional | TC · Technical part | $16.22 | $28.18 | $29.51 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $26.92 | $31.62 | $47.86 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $14.45 | $20.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.60 Typical High $22.39 | Professional | TC · Technical part | $13.49 | $16.60 | $22.39 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.84 Typical High $69.18 | Professional | None (both parts) | $26.92 | $28.84 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $14.13 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $14.79 Typical High $23.44 | Professional | TC · Technical part | $13.49 | $14.79 | $23.44 |
4 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 $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Where Maine sits
The same service costs 3.4 times more in Alaska than in New York. 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· 18th of 51
$38.02
AK $87.10NY $25.70
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.