How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $162Professionalmedian $166 · 10th to 90th $132 to $269
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $138.04 | $138.04 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $22.91 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $114.82 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $112.20 | $151.36 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $23.99 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $125.89 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $144.54 | $158.49 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $25.70 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $131.83 Typical High $251.19 | Professional | TC · Technical part | $123.03 | $131.83 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $134.90 | $190.55 | $263.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $30.90 | $41.69 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $158.49 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $162.18 | Facility | None | $138.04 | $138.04 | $162.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $138.04 | $144.54 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $22.91 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $123.03 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $128.82 | $190.55 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $31.62 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $158.49 | $223.87 |
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 $63.10 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $69.18 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $27.54 | $27.54 | $28.84 |
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· 27th of 51
$166
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.