How much rates vary
Facilitymedian $62 · 10th to 90th $52 to $62Professionalmedian $62 · 10th to 90th $44 to $87
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 $52.48 Median $61.66 Typical High $61.66 | Facility | None | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $54.95 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $13.18 | $13.49 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $58.88 | Professional | TC · Technical part | $42.66 | $47.86 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $54.95 Typical High $83.18 | Professional | None (both parts) | $37.15 | $54.95 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $9.55 | $12.59 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $36.31 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $51.29 | $61.66 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $15.85 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $66.07 | Professional | TC · Technical part | $38.02 | $45.71 | $66.07 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $53.70 | $61.66 | $89.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $12.88 | $20.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $40.74 | $42.66 | $70.79 |
Martin's Point Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $6,165.95 | Facility | None | $51.29 | $61.66 | $6,165.95 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $58.88 | $61.66 | $75.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $13.49 | $13.49 | $17.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $47.86 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $54.95 | $85.11 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $17.38 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $41.69 | $58.88 | $77.62 |
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 $30.90 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Where Maine sits
The same service costs 3.3 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· 22nd of 51
$61.66
MN $105UT $31.62
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.