How much rates vary
Professionalmedian $138 · 10th to 90th $105 to $214
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 $112.20 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $112.20 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $54.95 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $61.66 | $70.79 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $100.00 | $123.03 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $54.95 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $67.61 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $128.82 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $67.61 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $87.10 | $138.04 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $97.72 | $154.88 | $229.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $70.79 | $100.00 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $93.33 | $131.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $112.20 | $125.89 | $194.98 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $54.95 | $87.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $70.79 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $123.03 | $173.78 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $75.86 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $97.72 | $128.82 |
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 $61.66 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $25.12 | $25.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Where Maine sits
The same service costs 3.9 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· 20th of 51
$138
AK $282TX $72.44
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.