How much rates vary
Facilitymedian $69 · 10th to 90th $69 to $69Professionalmedian $85 · 10th to 90th $68 to $174
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $69.18 | $69.18 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $19.05 | $19.50 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $50.12 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $58.88 | $74.13 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $15.85 | $19.95 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $44.67 | $53.70 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $89.13 | $93.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $24.55 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $67.61 | $114.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $83.18 | $102.33 | $194.98 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $21.88 | $25.70 | $34.67 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $74.13 | $158.49 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $69.18 | $69.18 | $131.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $19.50 | $30.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $50.12 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $69.18 | $162.18 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $27.54 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $138.04 Typical High $177.83 | Professional | TC · Technical part | $50.12 | $138.04 | $177.83 |
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 $34.67 Median $34.67 Typical High $38.90 | Professional | 52 · Reduced service | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $34.67 | $34.67 | $38.02 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.14 |
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· 29th of 51
$85.11
AK $162TX $51.29
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.