How much rates vary
Professionalmedian $98 · 10th to 90th $78 to $158
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 $89.13 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $89.13 | $89.13 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $39.81 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $46.77 | $48.98 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $72.44 | $91.20 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $40.74 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $39.81 | $50.12 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $100.00 | $117.49 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $50.12 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $57.54 | $67.61 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $93.33 | $109.65 | $169.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $53.70 | $72.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $63.10 | $97.72 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $89.13 | $89.13 | $144.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $39.81 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $48.98 | $48.98 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $87.10 | $114.82 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $56.23 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $63.10 | $95.50 |
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 $43.65 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Where Maine sits
The same service costs 3.0 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
$97.72
AK $204TX $67.61
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.