How much rates vary
Professionalmedian $54 · 10th to 90th $41 to $79
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 $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $52.48 | $52.48 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $22.91 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $29.51 | $29.51 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $42.66 | $74.13 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $19.05 | $33.11 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $41.69 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $41.69 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $67.61 | Professional | None (both parts) | $38.02 | $43.65 | $67.61 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $26.92 | Professional | 26 · Professional part | $18.20 | $19.05 | $26.92 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $33.11 | Professional | TC · Technical part | $20.42 | $25.12 | $33.11 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $91.20 | Professional | None (both parts) | $38.02 | $40.74 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $18.20 | $18.62 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $22.39 | $35.48 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Where Maine sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 17th of 51
$53.70
AK $123UT $36.31
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.