How much rates vary
Facilitymedian $282 · 10th to 90th $282 to $1,318Professionalmedian $309 · 10th to 90th $251 to $479
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $275.42 | $281.84 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $39.81 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $229.09 | $239.88 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $223.87 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $41.69 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $275.42 | $309.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $44.67 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $263.03 | $478.63 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $269.15 | $354.81 | $489.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $53.70 | $72.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $416.87 | Professional | TC · Technical part | $234.42 | $302.00 | $416.87 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $281.84 | $281.84 | $398.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $39.81 | $39.81 | $61.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $239.88 | $239.88 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $251.19 | $363.08 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $53.70 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $208.93 | $309.03 | $436.52 |
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 $123.03 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $56.23 | $56.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $56.23 | $56.23 |
Where Maine sits
The same service costs 3.1 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· 24th of 51
$309
AK $631UT $204
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.