How much rates vary
Facilitymedian $363 · 10th to 90th $195 to $1,349Professionalmedian $263 · 10th to 90th $195 to $525
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 $194.98 Median $194.98 Typical High $363.08 | Facility | None | $194.98 | $194.98 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $194.98 | $204.17 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $35.48 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $169.82 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $35.48 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $181.97 | $208.93 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $36.31 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $151.36 | $173.78 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,412.54 | Facility | None | $691.83 | $1,122.02 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $208.93 | $269.15 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $45.71 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $223.87 | $426.58 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $645.65 | Professional | None (both parts) | $204.17 | $316.23 | $645.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $53.70 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $165.96 | $257.04 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $218.78 | $323.59 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $457.09 | Professional | TC · Technical part | $181.97 | $275.42 | $457.09 |
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 $97.72 Median $97.72 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $38.90 | $51.29 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$269
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.