How much rates vary
Facilitymedian $269 · 10th to 90th $269 to $479Professionalmedian $282 · 10th to 90th $257 to $661
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 $269.15 Median $269.15 Typical High $478.63 | Facility | None | $269.15 | $269.15 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $251.19 | $269.15 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $151.36 | $158.49 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $109.65 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $257.04 | $281.84 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $95.50 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $281.84 | $354.81 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $223.87 Typical High $457.09 | Professional | 26 · Professional part | $177.83 | $223.87 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $134.90 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $281.84 | $407.38 | $812.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $251.19 Typical High $446.68 | Professional | 26 · Professional part | $173.78 | $251.19 | $446.68 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $107.15 | $158.49 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $316.23 | $436.52 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $263.03 Typical High $537.03 | Professional | 26 · Professional part | $181.97 | $263.03 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $177.83 | $354.81 |
2 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 $120.23 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $53.70 | $54.95 |
Where New Hampshire 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.
New Hampshire· 26th of 51
$282
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.