How much rates vary
Facilitymedian $129 · 10th to 90th $129 to $617Professionalmedian $148 · 10th to 90th $123 to $234
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 $128.82 Median $128.82 Typical High $162.18 | Facility | None | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $125.89 | $131.83 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $23.44 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $107.15 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $104.71 | $131.83 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $18.62 | $22.91 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $87.10 | $109.65 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $131.83 | $147.91 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $25.70 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $123.03 | $223.87 |
Community Health Options Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $123.03 | $165.96 | $234.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $29.51 | $40.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $131.83 | $194.98 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $16,595.87 | Facility | None | $128.82 | $138.04 | $16,595.87 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $128.82 | $134.90 | $234.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $23.44 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $112.20 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $117.49 | $165.96 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $31.62 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $131.83 | $204.17 |
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 $53.70 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.70 | $25.70 |
Where Maine sits
The same service costs 4.0 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· 28th of 51
$148
MN $380UT $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.