How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $62Professionalmedian $83 · 10th to 90th $60 to $126
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | None (both parts) | $61.66 | $61.66 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $31.62 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $60.26 | $83.18 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $33.88 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $79.43 | Professional | TC · Technical part | $32.36 | $44.67 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $75.86 | $97.72 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $43.65 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $41.69 | $53.70 | $75.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $60.26 | $87.10 | $131.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $35.48 | $54.95 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $77.62 | Professional | TC · Technical part | $30.90 | $51.29 | $77.62 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | None (both parts) | $61.66 | $61.66 | $114.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $30.20 | $48.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $31.62 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $56.23 | $83.18 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $38.02 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $40.74 | $67.61 |
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 3.6 times more in Minnesota than in Texas. 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· 20th of 51
$83.18
MN $141TX $38.90
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.