How much rates vary
Facilitymedian $363 · 10th to 90th $363 to $363Professionalmedian $457 · 10th to 90th $355 to $708
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $354.81 | $363.08 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $44.67 | $48.98 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $309.03 | $316.23 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $707.95 | Professional | None (both parts) | $331.13 | $416.87 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $48.98 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $309.03 | $363.08 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $436.52 | $489.78 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $60.26 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $380.19 | $436.52 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $426.58 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $426.58 | $501.19 | $776.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $64.57 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $436.52 Typical High $691.83 | Professional | TC · Technical part | $371.54 | $436.52 | $691.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $354.81 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $354.81 | $363.08 | $645.65 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $48.98 | $75.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $309.03 | $316.23 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $776.25 | Professional | None (both parts) | $354.81 | $478.63 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $67.61 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $416.87 Typical High $676.08 | Professional | TC · Technical part | $316.23 | $416.87 | $676.08 |
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 $177.83 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $177.83 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $70.79 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Where Maine sits
The same service costs 3.0 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· 20th of 51
$447
AK $813NM $275
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.