How much rates vary
Professionalmedian $76 · 10th to 90th $63 to $123
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 $66.07 Median $66.07 Typical High $72.44 | Professional | None (both parts) | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $50.12 | Professional | 26 · Professional part | $46.77 | $47.86 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | TC · Technical part | $19.05 | $19.05 | $23.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $123.03 | Professional | None (both parts) | $54.95 | $67.61 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $47.86 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $38.90 | Professional | TC · Technical part | $16.98 | $19.95 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $75.86 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $56.23 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $46.77 | Professional | TC · Technical part | $22.91 | $25.12 | $46.77 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $120.23 | Professional | None (both parts) | $69.18 | $89.13 | $120.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $63.10 | $85.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $24.55 | $37.15 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $66.07 | $66.07 | $75.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | 26 · Professional part | $47.86 | $47.86 | $51.29 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | TC · Technical part | $19.05 | $19.05 | $23.99 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $64.57 | $91.20 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $66.07 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $25.70 | $40.74 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Where Maine sits
The same service costs 3.9 times more in Alaska 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· 22nd of 51
$75.86
AK $170TX $43.65
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.