How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $174Professionalmedian $174 · 10th to 90th $141 to $269
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $147.91 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $85.11 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $67.61 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $109.65 | $141.25 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $81.28 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $61.66 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $169.82 | $186.21 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $104.71 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $79.43 | $125.89 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $169.82 | $199.53 | $275.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $97.72 | $114.82 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $89.13 | $125.89 |
Martin's Point Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $173.78 | Facility | None | $151.36 | $151.36 | $173.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $151.36 | $151.36 | $251.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $85.11 | $134.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $67.61 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $147.91 | $208.93 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $91.20 | $117.49 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $67.61 | $89.13 | $117.49 |
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 $74.13 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $30.20 | $30.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Where Maine sits
The same service costs 4.0 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
$170
AK $339TX $85.11
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.