How much rates vary
Professionalmedian $170 · 10th to 90th $132 to $282
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 $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $27.54 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $109.65 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $114.82 | $154.88 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $28.84 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $128.82 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $165.96 | $218.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $37.15 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $131.83 | $177.83 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $165.96 | $186.21 | $263.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $38.02 | $50.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $131.83 | $147.91 | $213.80 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $138.04 | $138.04 | $147.91 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.18 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $109.65 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $134.90 | $194.98 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $40.74 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $151.36 | $234.42 |
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 $69.18 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $28.18 | $29.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $69.18 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.84 |
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
$170
AK $324TX $102
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.