How much rates vary
Professionalmedian $617 · 10th to 90th $363 to $1,175
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 $575.44 Median $575.44 Typical High $707.95 | Professional | None (both parts) | $575.44 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $144.54 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $144.54 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $676.08 | Professional | TC · Technical part | $537.03 | $537.03 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $812.83 Typical High $1,513.56 | Professional | None (both parts) | $562.34 | $812.83 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $302.00 | Professional | 26 · Professional part | $117.49 | $165.96 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $630.96 Typical High $1,096.48 | Professional | TC · Technical part | $407.38 | $630.96 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $331.13 | $363.08 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $181.97 Typical High $275.42 | Professional | 26 · Professional part | $173.78 | $181.97 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $162.18 | $181.97 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $346.74 Median $562.34 Typical High $1,348.96 | Professional | None (both parts) | $346.74 | $562.34 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $131.83 | $186.21 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $407.38 Typical High $1,096.48 | Professional | TC · Technical part | $194.98 | $407.38 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $575.44 | $575.44 | $776.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $144.54 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $144.54 | $199.53 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | TC · Technical part | $537.03 | $537.03 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $562.34 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $190.55 Typical High $251.19 | Professional | 26 · Professional part | $128.82 | $190.55 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $831.76 Typical High $1,122.02 | Professional | TC · Technical part | $436.52 | $831.76 | $1,122.02 |
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 $288.40 Median $288.40 Typical High $331.13 | Professional | 52 · Reduced service | $288.40 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $114.82 | $114.82 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $288.40 | $323.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $128.82 |
Where Maine sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 15th of 51
$617
AK $1,000WA $324
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.