How much rates vary
Facilitymedian $288 · 10th to 90th $288 to $1,349Professionalmedian $331 · 10th to 90th $240 to $525
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $208.93 | $288.40 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $48.98 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $234.42 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $239.88 | $309.03 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $51.29 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $251.19 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $288.40 | $331.13 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $54.95 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $275.42 | $489.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $275.42 | $380.19 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $64.57 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $446.68 | Professional | TC · Technical part | $229.09 | $316.23 | $446.68 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $218.78 | $288.40 | $436.52 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $48.98 | $75.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $234.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $263.03 | $380.19 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $67.61 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $316.23 | $467.74 |
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 $104.71 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $104.71 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $41.69 | $57.54 | $57.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $48.98 | $57.54 | $57.54 |
Where Maine sits
The same service costs 3.0 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· 23rd of 51
$331
AK $646UT $214
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.