How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $5,248Professionalmedian $38 · 10th to 90th $24 to $66
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $34.67 | $34.67 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $22.91 | Professional | TC · Technical part | $10.96 | $10.96 | $22.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $27.54 | $38.02 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $26.92 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $14.45 Typical High $27.54 | Professional | TC · Technical part | $11.75 | $14.45 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $69.18 | Professional | None (both parts) | $40.74 | $52.48 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $34.67 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $17.38 Typical High $24.55 | Professional | TC · Technical part | $14.45 | $17.38 | $24.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $17.78 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $17.78 | $45.71 | $61.66 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $28.18 | $43.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $17.78 Typical High $27.54 | Professional | TC · Technical part | $10.72 | $17.78 | $27.54 |
Martin's Point Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $34.67 | $34.67 | $61.66 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $22.91 | Professional | TC · Technical part | $10.96 | $10.96 | $22.91 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $32.36 | $45.71 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $30.90 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $14.79 Typical High $21.38 | Professional | TC · Technical part | $9.77 | $14.79 | $21.38 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Where Maine sits
The same service costs 2.5 times more in Nebraska than in Florida. 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· 33rd of 51
$38.02
NE $72.44FL $28.84
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.