How much rates vary
Professionalmedian $155 · 10th to 90th $120 to $263
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 $131.83 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $131.83 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $112.20 | $138.04 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $67.61 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $72.44 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $144.54 | $194.98 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $83.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $112.20 | $147.91 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $158.49 | $181.97 | $251.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $89.13 | $120.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $83.18 | $95.50 | $134.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $131.83 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $63.10 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $144.54 | $190.55 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $70.79 | $93.33 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $102.33 | $158.49 |
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 $69.18 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Maine sits
The same service costs 4.6 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
$155
AK $331TX $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.