How much rates vary
Professionalmedian $141 · 10th to 90th $123 to $214
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 $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $107.15 | $158.49 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $75.86 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $83.18 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $141.25 | $158.49 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $72.44 | $79.43 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $79.43 | $114.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $141.25 | $141.25 | $218.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $66.07 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $66.07 | $75.86 | $117.49 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $112.20 | $165.96 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $81.28 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $72.44 | $114.82 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Where Maine sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 24th of 51
$141
MN $269UT $70.79
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.