How much rates vary
Professionalmedian $95 · 10th to 90th $76 to $158
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 $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | TC · Technical part | $53.70 | $53.70 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $66.07 | $89.13 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $33.88 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $54.95 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $93.33 | $114.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $41.69 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $57.54 | $74.13 | $112.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $95.50 | $107.15 | $165.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $44.67 | $61.66 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $66.07 | $104.71 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | None (both parts) | $87.10 | $87.10 | $89.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | 26 · Professional part | $33.11 | $33.11 | $36.31 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | TC · Technical part | $53.70 | $53.70 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $83.18 | $109.65 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $45.71 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $64.57 | $107.15 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.98 | $17.38 | $17.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Where Maine sits
The same service costs 3.0 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
$95.50
AK $204TX $69.18
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.