How much rates vary
Professionalmedian $186 · 10th to 90th $145 to $302
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 $147.91 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $147.91 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $31.62 | Professional | 26 · Professional part | $28.18 | $29.51 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $117.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $117.49 | $169.82 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $30.20 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $141.25 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $181.97 | $251.19 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $38.02 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $213.80 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $181.97 | $208.93 | $295.12 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $38.90 | $52.48 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $141.25 | $169.82 | $239.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $147.91 | $147.91 | $199.53 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $28.18 | $29.51 | $32.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $117.49 | $117.49 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $141.25 | $208.93 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $41.69 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $173.78 | $251.19 |
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 $72.44 Median $72.44 Typical High $81.28 | Professional | 52 · Reduced service | $72.44 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $29.51 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Maine sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 24th of 51
$186
AK $347NM $120
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.