How much rates vary
Professionalmedian $234 · 10th to 90th $209 to $389
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 $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $177.83 | $269.15 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $354.81 | Professional | 26 · Professional part | $131.83 | $194.98 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $46.77 | $69.18 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $263.03 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $204.17 Typical High $295.12 | Professional | 26 · Professional part | $194.98 | $204.17 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $75.86 | $114.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $234.42 | $234.42 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $269.15 | Professional | 26 · Professional part | $169.82 | $169.82 | $269.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $63.10 | $138.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $194.98 | $346.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $234.42 Typical High $295.12 | Professional | 26 · Professional part | $144.54 | $234.42 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $47.86 | $104.71 | $169.82 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Where Maine sits
The same service costs 3.5 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· 35th of 51
$234
AK $468UT $132
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.