How much rates vary
Facilitymedian $71 · 10th to 90th $71 to $71Professionalmedian $74 · 10th to 90th $55 to $105
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | None (both parts) | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | TC · Technical part | $39.81 | $39.81 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $75.86 | $75.86 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 26 · Professional part | $32.36 | $32.36 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $43.65 | $43.65 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $100.00 Typical High $107.15 | Professional | None (both parts) | $58.88 | $100.00 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $42.66 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $33.88 | $58.88 | $61.66 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $64.57 | $74.13 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $51.29 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $51.29 | $58.88 | $91.20 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $24.55 | $35.48 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $34.67 | $46.77 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $104.71 | Professional | None (both parts) | $51.29 | $54.95 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $22.91 | $23.99 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $27.54 | $30.90 | $48.98 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Where Maine sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$74.13
AK $162FL $45.71
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.