How much rates vary
Professionalmedian $2,188 · 10th to 90th $1,698 to $3,548
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 $1,905.46 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,905.46 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $354.81 Typical High $363.08 | Professional | 26 · Professional part | $323.59 | $354.81 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,513.56 | $1,621.81 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,995.26 Typical High $3,388.44 | Professional | None (both parts) | $1,548.82 | $1,995.26 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $616.60 | Professional | 26 · Professional part | $302.00 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,621.81 Typical High $2,754.23 | Professional | TC · Technical part | $1,318.26 | $1,621.81 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,454.71 Typical High $3,981.07 | Professional | None (both parts) | $2,041.74 | $2,454.71 | $3,981.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $436.52 Typical High $724.44 | Professional | 26 · Professional part | $380.19 | $436.52 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $2,041.74 Typical High $3,235.94 | Professional | TC · Technical part | $1,659.59 | $2,041.74 | $3,235.94 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,570.40 Typical High $3,801.89 | Professional | None (both parts) | $2,398.83 | $2,570.40 | $3,801.89 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $478.63 Typical High $645.65 | Professional | 26 · Professional part | $407.38 | $478.63 | $645.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $2,089.30 Typical High $3,162.28 | Professional | TC · Technical part | $1,949.84 | $2,089.30 | $3,162.28 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,949.84 Typical High $1,995.26 | Professional | None (both parts) | $1,905.46 | $1,949.84 | $1,995.26 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | 26 · Professional part | $354.81 | $354.81 | $380.19 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,584.89 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,630.27 Typical High $3,630.78 | Professional | None (both parts) | $1,905.46 | $2,630.27 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $489.78 Typical High $645.65 | Professional | 26 · Professional part | $371.54 | $489.78 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,137.96 Typical High $2,951.21 | Professional | TC · Technical part | $1,548.82 | $2,137.96 | $2,951.21 |
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 $954.99 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $954.99 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Where Maine sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 19th of 51
$2,188
AK $4,467TX $1,413
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.