How much rates vary
Facilitymedian $380 · 10th to 90th $380 to $380Professionalmedian $479 · 10th to 90th $372 to $759
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $371.54 | $380.19 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $60.26 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $323.59 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $346.74 | $436.52 | $758.58 |
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 $309.03 Median $371.54 Typical High $645.65 | Professional | TC · Technical part | $309.03 | $371.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $398.11 | $512.86 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $446.68 Typical High $758.58 | Professional | TC · Technical part | $309.03 | $446.68 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $457.09 Median $512.86 Typical High $794.33 | Professional | None (both parts) | $457.09 | $512.86 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $81.28 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $380.19 | $446.68 | $691.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $371.54 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $371.54 | $380.19 | $676.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $60.26 | $60.26 | $95.50 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $323.59 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $812.83 | Professional | None (both parts) | $371.54 | $512.86 | $812.83 |
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 $316.23 Median $426.58 Typical High $691.83 | Professional | TC · Technical part | $316.23 | $426.58 | $691.83 |
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 $186.21 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $186.21 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $74.13 | $75.86 | $75.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Where Maine sits
The same service costs 3.0 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· 17th of 51
$468
AK $794NM $269
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.