How much rates vary
Professionalmedian $174 · 10th to 90th $120 to $269
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 $54.95 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $54.95 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $45.71 Typical High $52.48 | Professional | 26 · Professional part | $14.13 | $45.71 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $40.74 | $120.23 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $125.89 | $173.78 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $30.90 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $131.83 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $85.11 | $251.19 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $23.99 | $63.10 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $60.26 | $190.55 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $162.18 | $194.98 | $263.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $45.71 | $79.43 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $144.54 | $218.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $54.95 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $54.95 | $173.78 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $45.71 Typical High $52.48 | Professional | 26 · Professional part | $14.13 | $45.71 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $40.74 | $120.23 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $141.25 | $186.21 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $63.10 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $125.89 | $223.87 |
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 $60.26 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $60.26 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $34.67 | $34.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $60.26 | $87.10 | $87.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $34.67 | $34.67 |
Where Maine sits
The same service costs 5.2 times more in Alaska than in Indiana. 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
$174
AK $363IN $69.18
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.