How much rates vary
Facilitymedian $813 · 10th to 90th $813 to $813Professionalmedian $195 · 10th to 90th $138 to $324
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 $104.71 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $104.71 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $27.54 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $114.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $138.04 | $162.18 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $36.31 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $123.03 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $181.97 | $199.53 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $29.51 | $33.11 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $141.25 | $169.82 | $295.12 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $165.96 | $208.93 | $331.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $44.67 | $69.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $138.04 | $169.82 | $269.15 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $104.71 | $141.25 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $27.54 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $114.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $158.49 | $199.53 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $36.31 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $165.96 | $275.42 |
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 $66.07 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
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· 25th of 51
$195
AK $407UT $117
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.