How much rates vary
Facilitymedian $513 · 10th to 90th $123 to $1,023Professionalmedian $204 · 10th to 90th $129 to $407
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 $123.03 Median $123.03 Typical High $251.19 | Facility | None | $123.03 | $123.03 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $338.84 | Professional | None (both parts) | $123.03 | $147.91 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $57.54 | Professional | 26 · Professional part | $19.95 | $22.91 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $117.49 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $25.70 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $128.82 | $147.91 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $25.12 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $120.23 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,023.29 | Facility | None | $316.23 | $660.69 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $162.18 | $204.17 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $30.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $138.04 | $173.78 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $154.88 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $154.88 | $245.47 | $467.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $24.55 | $37.15 | $70.79 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $128.82 | $204.17 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $158.49 | $245.47 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $38.90 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $218.78 | $363.08 |
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 $60.26 Median $60.26 Typical High $85.11 | Professional | 52 · Reduced service | $60.26 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $24.55 | $33.88 |
Where New Hampshire sits
The same service costs 3.7 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· 13th of 51
$204
AK $355UT $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.