How much rates vary
Facilitymedian $135 · 10th to 90th $135 to $631Professionalmedian $158 · 10th to 90th $126 to $240
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $131.83 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $25.70 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $109.65 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $109.65 | $144.54 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $26.30 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $114.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $138.04 | $154.88 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $28.84 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $125.89 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $131.83 | $177.83 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $33.88 | $45.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $141.25 | $204.17 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $134.90 | $138.04 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $25.70 | $38.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $114.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $125.89 | $177.83 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $34.67 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $141.25 | $208.93 |
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 $58.88 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $66.07 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.30 | $26.92 | $26.92 |
Where Maine sits
The same service costs 3.3 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· 29th of 51
$158
AK $316UT $95.50
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.