How much rates vary
Facilitymedian $219 · 10th to 90th $219 to $219Professionalmedian $437 · 10th to 90th $229 to $741
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $218.78 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $67.61 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $151.36 | $151.36 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $239.88 | $562.34 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $60.26 | $117.49 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $316.23 Typical High $562.34 | Professional | TC · Technical part | $158.49 | $316.23 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $275.42 | $371.54 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $100.00 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $208.93 | $263.03 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $257.04 | $389.05 | $741.31 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $66.07 | $100.00 | $194.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $257.04 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $263.03 | $363.08 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $104.71 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $275.42 | $478.63 |
2 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 $109.65 Median $109.65 Typical High $158.49 | Professional | 52 · Reduced service | $109.65 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 53 · Discontinued | $43.65 | $43.65 | $63.10 |
Where New Hampshire 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.
New Hampshire· 8th of 51
$437
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.