How much rates vary
Professionalmedian $186 · 10th to 90th $141 to $288
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 $154.88 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $154.88 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $89.13 | $91.20 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $114.82 | $154.88 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $93.33 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $66.07 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $186.21 | $204.17 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $114.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $79.43 | $87.10 | $144.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $186.21 | $204.17 | $302.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $107.15 | $125.89 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $83.18 | $128.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $158.49 | $158.49 | $181.97 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $104.71 | Professional | 26 · Professional part | $89.13 | $91.20 | $104.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $64.57 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $151.36 | $213.80 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $169.82 | Professional | 26 · Professional part | $97.72 | $131.83 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $85.11 | $134.90 |
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 $75.86 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $75.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Where Maine sits
The same service costs 3.6 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
$186
AK $380TX $105
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.