How much rates vary
Professionalmedian $309 · 10th to 90th $251 to $490
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 $269.15 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $269.15 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $269.15 | Professional | 26 · Professional part | $165.96 | $165.96 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $107.15 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $199.53 | $257.04 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $295.12 | Professional | 26 · Professional part | $125.89 | $158.49 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $77.62 | $97.72 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $316.23 | $338.84 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $208.93 Typical High $346.74 | Professional | 26 · Professional part | $190.55 | $208.93 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $128.82 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $269.15 | $363.08 | $489.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $223.87 Typical High $309.03 | Professional | 26 · Professional part | $194.98 | $223.87 | $309.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $134.90 | $186.21 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $275.42 | $275.42 | $446.68 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $269.15 | Professional | 26 · Professional part | $165.96 | $165.96 | $269.15 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $107.15 | $107.15 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $269.15 | $371.54 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $234.42 Typical High $309.03 | Professional | 26 · Professional part | $177.83 | $234.42 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $144.54 | $190.55 |
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 $134.90 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $134.90 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $53.70 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Where Maine sits
The same service costs 3.3 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
$309
AK $589TX $178
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.