How much rates vary
Professionalmedian $603 · 10th to 90th $174 to $851
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 $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $1,023.29 | Professional | None (both parts) | $173.78 | $173.78 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $245.47 Typical High $446.68 | Professional | 26 · Professional part | $190.55 | $245.47 | $446.68 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $489.78 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $489.78 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $562.34 | $630.96 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $251.19 Typical High $323.59 | Professional | 26 · Professional part | $229.09 | $251.19 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $380.19 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $380.19 | $501.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $602.56 | $602.56 | $933.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | 26 · Professional part | $213.80 | $213.80 | $323.59 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $389.05 Typical High $602.56 | Professional | TC · Technical part | $346.74 | $389.05 | $602.56 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $489.78 | $724.44 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $263.03 Typical High $338.84 | Professional | 26 · Professional part | $173.78 | $263.03 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $616.60 | Professional | TC · Technical part | $269.15 | $380.19 | $616.60 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Where Maine sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 23rd of 51
$603
WI $1,000NC $331
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.