How much rates vary
Professionalmedian $174 · 10th to 90th $117 to $309
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 $117.49 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $117.49 | $134.90 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $48.98 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $89.13 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $128.82 | $186.21 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $51.29 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $128.82 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $426.58 | Professional | None (both parts) | $151.36 | $173.78 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $57.54 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $117.49 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $125.89 | $199.53 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $61.66 | $81.28 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $147.91 | $234.42 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $117.49 | $141.25 | $263.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $48.98 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $95.50 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $104.71 | $151.36 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $64.57 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $83.18 | $158.49 |
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 $56.23 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $23.44 | $26.92 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Where Maine sits
The same service costs 3.2 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· 19th of 51
$174
AK $347NY $107
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.