How much rates vary
Facilitymedian $74 · 10th to 90th $74 to $74Professionalmedian $78 · 10th to 90th $66 to $132
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $74.13 | $74.13 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $42.66 | $42.66 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $32.36 | $32.36 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $56.23 | $83.18 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $37.15 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $89.13 | Professional | TC · Technical part | $30.90 | $36.31 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $87.10 | $104.71 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $48.98 | $52.48 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $51.29 | $67.61 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $67.61 | $87.10 | $131.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $43.65 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $28.84 | $42.66 | $66.07 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $74.13 | $74.13 | $114.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $42.66 | $42.66 | $50.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $32.36 | $32.36 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $63.10 | $85.11 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $54.95 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $64.57 | Professional | TC · Technical part | $26.30 | $30.90 | $64.57 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Where Maine sits
The same service costs 3.3 times more in Alaska 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
$77.62
AK $162UT $48.98
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.