How much rates vary
Facilitymedian $692 · 10th to 90th $302 to $955Professionalmedian $182 · 10th to 90th $145 to $380
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 $177.83 Median $177.83 Typical High $302.00 | Facility | None | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $144.54 | $177.83 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $54.95 | Professional | 26 · Professional part | $20.89 | $22.91 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $123.03 | $154.88 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $16.98 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $134.90 | $151.36 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $21.38 | $23.99 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $125.89 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $954.99 | Facility | None | $426.58 | $758.58 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $147.91 | $194.98 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $165.96 | $302.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $147.91 | $229.09 | $457.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $23.44 | $35.48 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $123.03 | $190.55 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $151.36 | $229.09 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $131.83 | $199.53 | $323.59 |
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 $72.44 Median $89.13 Typical High $100.00 | Professional | 52 · Reduced service | $72.44 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $39.81 | Professional | 53 · Discontinued | $28.84 | $35.48 | $39.81 |
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
$186
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.