How much rates vary
Professionalmedian $19 · 10th to 90th $15 to $32
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 $9.55 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | TC · Technical part | $8.71 | $8.71 | $8.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.75 Median $19.50 Typical High $33.88 | Professional | None (both parts) | $11.75 | $19.50 | $33.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $17.38 | Professional | 26 · Professional part | $7.59 | $8.91 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.47 Typical High $22.39 | Professional | TC · Technical part | $8.71 | $10.47 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $22.91 Typical High $31.62 | Professional | None (both parts) | $21.88 | $22.91 | $31.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.75 Typical High $15.49 | Professional | 26 · Professional part | $10.72 | $11.75 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $11.22 Typical High $16.22 | Professional | TC · Technical part | $10.96 | $11.22 | $16.22 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $16.22 Median $20.89 Typical High $32.36 | Professional | None (both parts) | $16.22 | $20.89 | $32.36 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $10.23 | $15.85 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.72 Typical High $16.60 | Professional | TC · Technical part | $9.77 | $10.72 | $16.60 |
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 $9.55 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $9.55 | $9.55 | $9.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | TC · Technical part | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None (both parts) Typical Low $15.49 Median $23.99 Typical High $32.36 | Professional | None (both parts) | $15.49 | $23.99 | $32.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $12.02 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $11.48 Typical High $16.22 | Professional | TC · Technical part | $7.08 | $11.48 | $16.22 |
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 2.7 times more in Minnesota than in Florida. 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· 32nd of 51
$19.05
MN $38.02FL $14.13
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.