How much rates vary
Facilitymedian $1,413 · 10th to 90th $692 to $1,778Professionalmedian $363 · 10th to 90th $275 to $708
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 Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $281.84 | $281.84 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $40.74 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $562.34 | Professional | TC · Technical part | $245.47 | $245.47 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $251.19 | $281.84 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $41.69 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $213.80 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,412.54 Typical High $1,778.28 | Facility | None | $691.83 | $1,412.54 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $275.42 | $363.08 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $52.48 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $239.88 | $309.03 | $575.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $275.42 | $436.52 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $61.66 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $363.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $302.00 | $436.52 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $61.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $380.19 Typical High $645.65 | Professional | TC · Technical part | $257.04 | $380.19 | $645.65 |
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 $141.25 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $56.23 | $61.66 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$363
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.