How much rates vary
Professionalmedian $39 · 10th to 90th $26 to $60
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 $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $19.50 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $26.30 | $44.67 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.85 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $15.85 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $24.55 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $41.69 | $41.69 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $23.99 | Professional | 26 · Professional part | $16.22 | $17.78 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $23.99 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $25.70 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $25.70 | $40.74 | $50.12 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $15.14 | $23.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $15.85 | $28.84 | $39.81 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $53.70 | Professional | None (both parts) | $30.20 | $48.98 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $17.78 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $39.81 | Professional | TC · Technical part | $15.85 | $23.44 | $39.81 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.76 |
Where Maine sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 31st of 51
$38.90
MN $74.13AL $28.18
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.