How much rates vary
Professionalmedian $251 · 10th to 90th $85 to $417
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 $190.55 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $190.55 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $112.20 | Professional | TC · Technical part | $97.72 | $102.33 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $398.11 | Professional | None (both parts) | $67.61 | $85.11 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $87.10 | $123.03 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $234.42 | $251.19 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $120.23 | $128.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $112.20 | $128.82 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $257.04 | $346.74 | $467.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $131.83 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $165.96 | $199.53 | $302.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $229.09 | Professional | None (both parts) | $190.55 | $204.17 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $95.50 | $102.33 | $138.04 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $97.72 | $102.33 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $245.47 | $346.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $177.83 | Professional | 26 · Professional part | $91.20 | $138.04 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $199.53 | $309.03 |
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 $95.50 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $102.33 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $41.69 | $41.69 |
Where Maine sits
The same service costs 3.1 times more in Alaska than in New York. 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· 34th of 51
$251
AK $537NY $174
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.