How much rates vary
Professionalmedian $347 · 10th to 90th $295 to $525
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 $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $645.65 | Professional | None (both parts) | $263.03 | $389.05 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $323.59 Typical High $501.19 | Professional | 26 · Professional part | $218.78 | $323.59 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $43.65 | $60.26 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $537.03 | Professional | None (both parts) | $389.05 | $416.87 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $446.68 | Professional | 26 · Professional part | $309.03 | $346.74 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $61.66 | $67.61 | $107.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $346.74 | $346.74 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $436.52 | Professional | 26 · Professional part | $288.40 | $288.40 | $436.52 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $37.15 | $57.54 | $89.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $467.74 | Professional | None (both parts) | $275.42 | $426.58 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $346.74 Typical High $446.68 | Professional | 26 · Professional part | $245.47 | $346.74 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $87.10 | Professional | TC · Technical part | $33.88 | $41.69 | $87.10 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Where Maine sits
The same service costs 3.3 times more in Minnesota 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· 29th of 51
$347
MN $661UT $200
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.