How much rates vary
Facilitymedian $309 · 10th to 90th $309 to $891Professionalmedian $562 · 10th to 90th $309 to $1,023
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 $309.03 Median $309.03 Typical High $891.25 | Facility | None | $309.03 | $309.03 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $309.03 | $309.03 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $54.95 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $251.19 | $251.19 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $416.87 | $562.34 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $77.62 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $489.78 Typical High $831.76 | Professional | TC · Technical part | $354.81 | $489.78 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $1,174.90 | Professional | None (both parts) | $316.23 | $562.34 | $1,174.90 |
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 $269.15 Median $478.63 Typical High $1,023.29 | Professional | TC · Technical part | $269.15 | $478.63 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $457.09 Median $616.60 Typical High $1,258.93 | Professional | None (both parts) | $457.09 | $616.60 | $1,258.93 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $87.10 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $524.81 Typical High $977.24 | Professional | TC · Technical part | $389.05 | $524.81 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $602.56 Typical High $1,258.93 | Professional | None (both parts) | $316.23 | $602.56 | $1,258.93 |
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 $281.84 Median $524.81 Typical High $1,047.13 | Professional | TC · Technical part | $281.84 | $524.81 | $1,047.13 |
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 $151.36 Median $151.36 Typical High $199.53 | Professional | 52 · Reduced service | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | 53 · Discontinued | $61.66 | $61.66 | $81.28 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$562
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.