How much rates vary
Facilitymedian $457 · 10th to 90th $457 to $457Professionalmedian $562 · 10th to 90th $427 to $891
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $407.38 | $457.09 | $776.25 |
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 $371.54 Median $389.05 Typical High $691.83 | Professional | TC · Technical part | $371.54 | $389.05 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $398.11 | $501.19 | $870.96 |
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 $371.54 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $371.54 | $436.52 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $602.56 Typical High $1,023.29 | Professional | None (both parts) | $436.52 | $602.56 | $1,023.29 |
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 $380.19 Median $537.03 Typical High $912.01 | Professional | TC · Technical part | $380.19 | $537.03 | $912.01 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $524.81 | $602.56 | $933.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $81.28 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $524.81 Typical High $831.76 | Professional | TC · Technical part | $446.68 | $524.81 | $831.76 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $407.38 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $407.38 | $457.09 | $776.25 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $389.05 Typical High $691.83 | Professional | TC · Technical part | $371.54 | $389.05 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $436.52 | $588.84 | $933.25 |
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 $380.19 Median $512.86 Typical High $812.83 | Professional | TC · Technical part | $380.19 | $512.86 | $812.83 |
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 $213.80 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
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
$550
AK $933NM $309
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.