How much rates vary
Professionalmedian $52 · 10th to 90th $40 to $78
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $40.74 Median $40.74 Typical High $48.98 | Professional | None (both parts) | $40.74 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $15.49 | $15.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | TC · Technical part | $25.12 | $25.12 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $37.15 | $51.29 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.38 Typical High $27.54 | Professional | 26 · Professional part | $13.18 | $17.38 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $30.90 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $45.71 | $60.26 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $22.39 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.02 Typical High $52.48 | Professional | TC · Technical part | $28.84 | $38.02 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $39.81 | $52.48 | $79.43 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $27.54 | Professional | 26 · Professional part | $15.14 | $17.78 | $27.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $24.55 | $34.67 | $53.70 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | None (both parts) | $40.74 | $40.74 | $48.98 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $16.98 | Professional | 26 · Professional part | $15.49 | $15.49 | $16.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | TC · Technical part | $25.12 | $25.12 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $67.61 | Professional | None (both parts) | $37.15 | $53.70 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $19.95 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $31.62 | $48.98 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Where Maine sits
The same service costs 2.7 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· 18th of 51
$52.48
MN $83.18UT $30.90
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.