How much rates vary
Facilitymedian $178 · 10th to 90th $126 to $776Professionalmedian $166 · 10th to 90th $123 to $324
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 $125.89 Median $125.89 Typical High $223.87 | Facility | None | $125.89 | $125.89 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $309.03 | Professional | None (both parts) | $125.89 | $128.82 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $53.70 | Professional | 26 · Professional part | $22.39 | $22.91 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $104.71 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $281.84 | Professional | None (both parts) | $95.50 | $95.50 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $26.30 Typical High $28.18 | Professional | 26 · Professional part | $16.22 | $26.30 | $28.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $117.49 | $131.83 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $22.91 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $109.65 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $812.83 | Facility | None | $316.23 | $645.65 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $134.90 | $169.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $28.84 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $275.42 | Professional | TC · Technical part | $112.20 | $141.25 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $128.82 | $204.17 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $22.39 | $33.88 | $64.57 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $104.71 | $165.96 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $138.04 | $204.17 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $177.83 | $281.84 |
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 $61.66 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $25.12 | $32.36 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$166
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.