How much rates vary
Professionalmedian $18 · 10th to 90th $15 to $23
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 $18.20 Median $18.20 Typical High $18.20 | Professional | None (both parts) | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | TC · Technical part | $3.24 | $3.24 | $3.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $23.44 | Professional | None (both parts) | $18.20 | $18.20 | $23.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $19.05 | Professional | 26 · Professional part | $15.14 | $15.14 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $3.80 Typical High $4.79 | Professional | TC · Technical part | $3.80 | $3.80 | $4.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $21.38 Typical High $22.91 | Professional | None (both parts) | $14.13 | $21.38 | $22.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.98 Typical High $18.20 | Professional | 26 · Professional part | $11.22 | $16.98 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.82 Median $4.27 Typical High $4.68 | Professional | TC · Technical part | $2.82 | $4.27 | $4.68 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $14.45 Median $16.60 Typical High $25.12 | Professional | None (both parts) | $14.45 | $16.60 | $25.12 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $17.38 | Professional | 26 · Professional part | $12.02 | $15.85 | $17.38 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.39 Typical High $4.57 | Professional | TC · Technical part | $2.45 | $3.39 | $4.57 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None (both parts) | $18.20 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $15.14 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | TC · Technical part | $3.24 | $3.24 | $3.24 |
United Setting Professional Modifier None (both parts) Typical Low $14.45 Median $15.14 Typical High $52.48 | Professional | None (both parts) | $14.45 | $15.14 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $12.59 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $2.69 Typical High $3.55 | Professional | TC · Technical part | $2.19 | $2.69 | $3.55 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Where Maine sits
The same service costs 2.5 times more in California than in Texas. 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· 37th of 51
$18.20
CA $40.74TX $16.22
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.