How much rates vary
Professionalmedian $282 · 10th to 90th $209 to $457
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 $223.87 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $223.87 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $169.82 | $173.78 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $204.17 | $269.15 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $56.23 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $208.93 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $269.15 | $281.84 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $64.57 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $208.93 Typical High $501.19 | Professional | TC · Technical part | $204.17 | $208.93 | $501.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $223.87 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $223.87 | $346.74 | $467.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $74.13 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $169.82 | $257.04 | $380.19 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $229.09 | $229.09 | $446.68 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $52.48 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $173.78 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $416.87 | Professional | None (both parts) | $204.17 | $323.59 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $81.28 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $158.49 | $239.88 | $309.03 |
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 $112.20 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Where Maine sits
The same service costs 3.0 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· 18th of 51
$282
AK $513FL $174
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.