How much rates vary
Facilitymedian $7,413 · 10th to 90th $7,413 to $7,413Professionalmedian $372 · 10th to 90th $209 to $513
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 Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
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 $112.20 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $112.20 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $371.54 | $478.63 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $275.42 Typical High $354.81 | Professional | 26 · Professional part | $138.04 | $275.42 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $50.12 | $100.00 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $269.15 | $309.03 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $213.80 Typical High $380.19 | Professional | 26 · Professional part | $199.53 | $213.80 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $85.11 | $194.98 |
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 $208.93 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $208.93 | $257.04 | $512.86 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $380.19 | Professional | 26 · Professional part | $151.36 | $186.21 | $380.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $154.88 | Professional | TC · Technical part | $54.95 | $69.18 | $154.88 |
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 $234.42 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $234.42 | $371.54 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $251.19 Typical High $446.68 | Professional | 26 · Professional part | $162.18 | $251.19 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $107.15 | $165.96 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Where New Hampshire 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.
New Hampshire· 9th of 51
$372
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.