How much rates vary
Facilitymedian $331 · 10th to 90th $331 to $331Professionalmedian $525 · 10th to 90th $331 to $933
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $323.59 | $331.13 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $54.95 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $275.42 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $380.19 | $524.81 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $79.43 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $724.44 | Professional | TC · Technical part | $323.59 | $446.68 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $1,047.13 | Professional | None (both parts) | $331.13 | $501.19 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $77.62 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $426.58 Typical High $891.25 | Professional | TC · Technical part | $257.04 | $426.58 | $891.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $416.87 Median $575.44 Typical High $1,122.02 | Professional | None (both parts) | $416.87 | $575.44 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $89.13 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $354.81 | $467.74 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $1,122.02 | Professional | None (both parts) | $338.84 | $537.03 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $457.09 Typical High $933.25 | Professional | TC · Technical part | $275.42 | $457.09 | $933.25 |
2 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 $162.18 Median $165.96 Typical High $218.78 | Professional | 52 · Reduced service | $162.18 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $87.10 | Professional | 53 · Discontinued | $64.57 | $66.07 | $87.10 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$525
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.