How much rates vary
Facilitymedian $182 · 10th to 90th $182 to $182Professionalmedian $182 · 10th to 90th $129 to $302
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $162.18 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $87.10 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $93.33 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $144.54 | $173.78 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $89.13 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $83.18 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $177.83 | $223.87 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $107.15 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $114.82 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $100.00 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $100.00 | $199.53 | $309.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $123.03 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $123.03 | $165.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $162.18 | $181.97 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $87.10 | $138.04 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $93.33 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $173.78 | $245.47 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $123.03 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $123.03 | $165.96 |
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 $85.11 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $85.11 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $89.13 | $89.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $34.67 | $36.31 | $36.31 |
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· 24th of 51
$182
AK $398TX $102
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.