How much rates vary
Facilitymedian $331 · 10th to 90th $115 to $692Professionalmedian $117 · 10th to 90th $91 to $234
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 $114.82 Median $114.82 Typical High $194.98 | Facility | None | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $93.33 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $12.88 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $104.71 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $83.18 | $93.33 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $11.75 | $13.18 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $691.83 | Facility | None | $331.13 | $562.34 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $93.33 | $123.03 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $30.90 | Professional | 26 · Professional part | $12.88 | $16.60 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $104.71 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $91.20 | $144.54 | $288.40 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.50 Typical High $37.15 | Professional | 26 · Professional part | $12.88 | $19.50 | $37.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $123.03 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $95.50 | $147.91 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $20.42 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $131.83 | $213.80 |
2 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 $46.77 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $46.77 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $18.62 | $23.44 | $25.70 |
Where New Hampshire 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.
New Hampshire· 18th of 51
$117
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.