How much rates vary
Professionalmedian $100 · 10th to 90th $78 to $166
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 $87.10 Median $89.13 Typical High $97.72 | Professional | None (both parts) | $87.10 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $45.71 | $47.86 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $42.66 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $67.61 | $91.20 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $35.48 | $46.77 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $85.11 | Professional | TC · Technical part | $34.67 | $45.71 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $100.00 | $120.23 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $58.88 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $60.26 | $97.72 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $83.18 | $114.82 | $173.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $63.10 | $85.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $51.29 | $57.54 | $89.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $89.13 | $89.13 | $100.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $47.86 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $42.66 | $42.66 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $87.10 | $123.03 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $67.61 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $56.23 | $89.13 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $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 3.2 times more in Alaska than in Alabama. 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· 22nd of 51
$100
AK $219AL $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.