How much rates vary
Professionalmedian $204 · 10th to 90th $148 to $309
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 $141.25 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $141.25 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $41.69 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $138.04 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $144.54 | $213.80 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $46.77 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $269.15 | Professional | TC · Technical part | $109.65 | $158.49 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $190.55 | $234.42 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $52.48 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $128.82 | $181.97 | $269.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $162.18 | $213.80 | $295.12 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $50.12 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $125.89 | $158.49 | $229.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $151.36 | $181.97 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $41.69 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $138.04 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $151.36 | $213.80 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $52.48 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $114.82 | $158.49 | $245.47 |
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 $69.18 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $36.31 | $36.31 |
Where Maine sits
The same service costs 3.0 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· 21st of 51
$204
AK $380UT $129
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.