How much rates vary
Professionalmedian $776 · 10th to 90th $589 to $1,380
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 $575.44 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $575.44 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $239.88 Typical High $251.19 | Professional | 26 · Professional part | $223.87 | $239.88 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $371.54 Typical High $389.05 | Professional | TC · Technical part | $354.81 | $371.54 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $776.25 Typical High $1,348.96 | Professional | None (both parts) | $575.44 | $776.25 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $245.47 Typical High $416.87 | Professional | 26 · Professional part | $204.17 | $245.47 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $537.03 Typical High $912.01 | Professional | TC · Technical part | $407.38 | $537.03 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $851.14 Typical High $1,621.81 | Professional | None (both parts) | $630.96 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $302.00 Typical High $489.78 | Professional | 26 · Professional part | $263.03 | $302.00 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $549.54 Typical High $1,122.02 | Professional | TC · Technical part | $338.84 | $549.54 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $758.58 Median $954.99 Typical High $1,445.44 | Professional | None (both parts) | $758.58 | $954.99 | $1,445.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $323.59 Typical High $436.52 | Professional | 26 · Professional part | $269.15 | $323.59 | $436.52 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $660.69 Typical High $1,023.29 | Professional | TC · Technical part | $457.09 | $660.69 | $1,023.29 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $575.44 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $575.44 | $602.56 | $660.69 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | 26 · Professional part | $239.88 | $239.88 | $257.04 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $389.05 | Professional | TC · Technical part | $323.59 | $371.54 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $812.83 Typical High $1,288.25 | Professional | None (both parts) | $588.84 | $812.83 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $331.13 Typical High $446.68 | Professional | 26 · Professional part | $251.19 | $331.13 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $489.78 Typical High $794.33 | Professional | TC · Technical part | $363.08 | $489.78 | $794.33 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Where Maine sits
The same service costs 3.2 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· 18th of 51
$776
AK $1,445KY $447
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.