How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $98Professionalmedian $112 · 10th to 90th $83 to $200
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $81.28 | $97.72 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $61.66 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $79.43 | $112.20 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $37.15 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $75.86 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $91.20 | $144.54 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $45.71 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $100.00 | $154.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $112.20 | $131.83 | $204.17 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $41.69 | $48.98 | $66.07 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $89.13 | $141.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $79.43 | $97.72 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $36.31 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $117.49 | Professional | TC · Technical part | $41.69 | $61.66 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $85.11 | $123.03 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $51.29 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $75.86 | $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 $45.71 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Where Maine sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 25th of 51
$112
AK $229KY $64.57
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.