How much rates vary
Facilitymedian $347 · 10th to 90th $347 to $347Professionalmedian $447 · 10th to 90th $331 to $676
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $346.74 | $346.74 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $60.26 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $281.84 | $281.84 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $295.12 | $389.05 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $61.66 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $407.38 | $467.74 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $67.61 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $676.08 | Professional | TC · Technical part | $338.84 | $398.11 | $676.08 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $416.87 | $478.63 | $741.31 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $81.28 | $112.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $354.81 | $398.11 | $616.60 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $346.74 | $346.74 | $616.60 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $60.26 | $97.72 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $281.84 | $281.84 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $724.44 | Professional | None (both parts) | $331.13 | $489.78 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $85.11 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $602.56 | Professional | TC · Technical part | $275.42 | $398.11 | $602.56 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Where Maine sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$437
AK $776NM $240
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.