How much rates vary
Facilitymedian $776 · 10th to 90th $776 to $776Professionalmedian $186 · 10th to 90th $138 to $282
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 $138.04 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $138.04 | $141.25 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $25.12 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $114.82 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $125.89 | $147.91 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $20.89 | $26.30 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $123.03 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $162.18 | $186.21 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $28.18 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $154.88 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $158.49 | $208.93 | $288.40 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $33.11 | $44.67 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $173.78 | $245.47 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $141.25 | $141.25 | $263.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $25.12 | $44.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $114.82 | $114.82 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $144.54 | $208.93 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $34.67 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $123.03 | $173.78 | $251.19 |
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 $61.66 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $70.79 | $70.79 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.84 |
Where Maine sits
The same service costs 3.8 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· 16th of 51
$186
AK $363UT $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.