How much rates vary
Facilitymedian $135 · 10th to 90th $135 to $135Professionalmedian $155 · 10th to 90th $120 to $245
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $117.49 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $25.12 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $109.65 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $109.65 | $138.04 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $25.70 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $109.65 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $138.04 | $154.88 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $28.18 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $125.89 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $131.83 | $177.83 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $33.11 | $45.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $141.25 | $213.80 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $125.89 | $134.90 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $25.12 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $109.65 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $125.89 | $177.83 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $34.67 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $141.25 | $208.93 |
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 $57.54 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $26.92 | $26.92 |
Where Maine sits
The same service costs 3.2 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· 26th of 51
$155
AK $302UT $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.