How much rates vary
Professionalmedian $17 · 10th to 90th $14 to $21
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 $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
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 $17.38 Median $17.38 Typical High $21.88 | Professional | None (both parts) | $17.38 | $17.38 | $21.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $14.13 | $14.13 | $17.78 |
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 $13.18 Median $19.95 Typical High $21.88 | Professional | None (both parts) | $13.18 | $19.95 | $21.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.49 Typical High $16.98 | Professional | 26 · Professional part | $10.47 | $15.49 | $16.98 |
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 $13.80 Median $15.14 Typical High $23.44 | Professional | None (both parts) | $13.80 | $15.14 | $23.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $13.18 | $20.42 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
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 $13.80 Median $14.13 Typical High $48.98 | Professional | None (both parts) | $13.80 | $14.13 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $11.22 | $11.48 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $1.86 Median $2.63 Typical High $3.24 | Professional | TC · Technical part | $1.86 | $2.63 | $3.24 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Where Maine sits
The same service costs 2.6 times more in California 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· 36th of 51
$17.38
CA $38.02NY $14.45
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.