How much rates vary
Facilitymedian $89 · 10th to 90th $89 to $89Professionalmedian $107 · 10th to 90th $85 to $166
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $89.13 | $100.00 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $12.30 | $12.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $75.86 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $72.44 | $93.33 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $10.47 | $13.18 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $91.20 | $100.00 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $14.45 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $87.10 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $87.10 | $120.23 | $169.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $16.60 | $22.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $102.33 | $144.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $89.13 | $104.71 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $12.59 | $12.88 | $22.39 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $81.28 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $83.18 | $120.23 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $17.78 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $102.33 | $144.54 |
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 $39.81 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $44.67 | $44.67 | $45.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.20 |
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· 25th of 51
$107
AK $209UT $63.10
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.