How much rates vary
Professionalmedian $98 · 10th to 90th $71 to $138
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 $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $97.72 | $97.72 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $50.12 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | TC · Technical part | $46.77 | $46.77 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $79.43 | $138.04 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $72.44 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $72.44 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $66.07 Typical High $70.79 | Professional | TC · Technical part | $38.02 | $66.07 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $39.81 | $81.28 | $109.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $41.69 | $56.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $39.81 | $53.70 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $109.65 | Professional | None (both parts) | $70.79 | $75.86 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $40.74 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $47.86 | Professional | TC · Technical part | $31.62 | $34.67 | $47.86 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Where Maine sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$97.72
AK $229NJ $61.66
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.