How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,413 to $1,413Professionalmedian $302 · 10th to 90th $219 to $447
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 Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $218.78 | $263.03 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $72.44 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $158.49 | $190.55 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $204.17 | $302.00 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $81.28 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $208.93 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $288.40 | $331.13 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $89.13 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $199.53 | $239.88 | $354.81 |
Community Health Options Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $234.42 | $316.23 | $426.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $87.10 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $173.78 | $229.09 | $309.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $229.09 | $263.03 | $426.58 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $72.44 | $120.23 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $165.96 | $190.55 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $218.78 | $323.59 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $91.20 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $234.42 | $331.13 |
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 $104.71 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $52.48 | $52.48 |
Where Maine sits
The same service costs 3.5 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· 20th of 51
$302
AK $562UT $158
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.