How much rates vary
Professionalmedian $105 · 10th to 90th $38 to $204
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $102.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $154.88 | Professional | None (both parts) | $28.84 | $38.02 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $48.98 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $83.18 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $83.18 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $117.49 | $131.83 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $51.29 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $79.43 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $380.19 | Professional | None (both parts) | $123.03 | $162.18 | $380.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $54.95 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $74.13 | $114.82 | $234.42 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $524.81 | Professional | None (both parts) | $138.04 | $199.53 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $57.54 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $446.68 | Professional | TC · Technical part | $102.33 | $131.83 | $446.68 |
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 $51.29 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.42 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Maine sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 32nd of 51
$105
HI $309KY $57.54
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.