How much rates vary
Facilitymedian $204 · 10th to 90th $204 to $977Professionalmedian $234 · 10th to 90th $191 to $372
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 $204.17 Median $204.17 Typical High $223.87 | Facility | None | $204.17 | $204.17 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $194.98 | $204.17 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $35.48 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $169.82 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $165.96 | $208.93 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $36.31 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $173.78 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $208.93 | $234.42 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $194.98 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $199.53 | $263.03 | $363.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $45.71 | $63.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $218.78 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $26,302.68 | Facility | None | $204.17 | $218.78 | $26,302.68 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $204.17 | $204.17 | $371.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $35.48 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $190.55 | $269.15 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $48.98 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $154.88 | $218.78 | $316.23 |
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 $83.18 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $97.72 | $102.33 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $38.90 | $40.74 | $40.74 |
Where Maine sits
The same service costs 3.5 times more in Minnesota 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
$234
MN $550UT $158
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.