How much rates vary
Professionalmedian $148 · 10th to 90th $107 to $234
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 $134.90 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $134.90 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $45.71 | $47.86 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $87.10 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $91.20 | $131.83 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $47.86 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $83.18 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $154.88 | $169.82 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $58.88 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $112.20 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $97.72 | $151.36 | $251.19 |
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 $97.72 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $151.36 | $190.55 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $134.90 | $134.90 | $181.97 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $46.77 | $47.86 | $53.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $87.10 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $131.83 | $223.87 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $67.61 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $158.49 | $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 $67.61 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $26.92 | $26.92 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Where Maine sits
The same service costs 3.2 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· 22nd of 51
$148
AK $302TX $93.33
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.