How much rates vary
Facilitymedian $490 · 10th to 90th $417 to $7,413Professionalmedian $851 · 10th to 90th $501 to $1,122
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 $2,398.83 Median $5,370.32 Typical High $22,387.21 | Facility | None | $2,398.83 | $5,370.32 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $933.25 Typical High $1,047.13 | Professional | None (both parts) | $173.78 | $933.25 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $446.68 Typical High $478.63 | Professional | 26 · Professional part | $338.84 | $446.68 | $478.63 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $562.34 Typical High $616.60 | Professional | TC · Technical part | $316.23 | $562.34 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $616.60 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $245.47 Typical High $457.09 | Professional | 26 · Professional part | $239.88 | $245.47 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $371.54 | $380.19 | $707.95 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $1,318.26 | Professional | None (both parts) | $537.03 | $616.60 | $1,318.26 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $223.87 Typical High $467.74 | Professional | 26 · Professional part | $190.55 | $223.87 | $467.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $398.11 Typical High $870.96 | Professional | TC · Technical part | $346.74 | $398.11 | $870.96 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $758.58 Typical High $1,479.11 | Professional | None (both parts) | $537.03 | $758.58 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $288.40 Typical High $562.34 | Professional | 26 · Professional part | $199.53 | $288.40 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $346.74 | $478.63 | $933.25 |
Well Sense Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $676.08 | Facility | None | $416.87 | $489.78 | $676.08 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Where New Hampshire 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.
New Hampshire· 6th of 51
$851
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.