How much rates vary
Facilitymedian $427 · 10th to 90th $427 to $427Professionalmedian $550 · 10th to 90th $417 to $871
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $426.58 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $91.20 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $630.96 | Professional | TC · Technical part | $338.84 | $338.84 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $398.11 | $489.78 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $93.33 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $338.84 | $398.11 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $575.44 Typical High $1,023.29 | Professional | None (both parts) | $489.78 | $575.44 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $114.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $467.74 Typical High $831.76 | Professional | TC · Technical part | $380.19 | $467.74 | $831.76 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $524.81 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $524.81 | $588.84 | $912.01 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $107.15 | $125.89 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $489.78 Typical High $741.31 | Professional | TC · Technical part | $416.87 | $489.78 | $741.31 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $426.58 | $426.58 | $776.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $91.20 | $147.91 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $630.96 | Professional | TC · Technical part | $338.84 | $338.84 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $416.87 | $588.84 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $169.82 | Professional | 26 · Professional part | $97.72 | $131.83 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $457.09 Typical High $707.95 | Professional | TC · Technical part | $323.59 | $457.09 | $707.95 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
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
$550
AK $977NM $302
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.