How much rates vary
Facilitymedian $166 · 10th to 90th $85 to $617Professionalmedian $245 · 10th to 90th $191 to $427
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 $234.42 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $234.42 | $263.03 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $81.28 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $177.83 | $331.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $128.82 | $245.47 | $269.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $75.86 | $83.18 | $83.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $138.04 | $144.54 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $436.52 | Facility | None | $114.82 | $190.55 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $660.69 | Professional | None (both parts) | $199.53 | $251.19 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $223.87 | Professional | 26 · Professional part | $75.86 | $89.13 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $128.82 | $162.18 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $416.87 | Professional | None | $213.80 | $251.19 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $128.82 | Professional | 26 · Professional part | $79.43 | $91.20 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $158.49 | $288.40 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $194.98 | $302.00 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $100.00 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $194.98 | $363.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $186.21 | $186.21 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $67.61 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $120.23 | $120.23 | $208.93 |
2 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 $117.49 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $117.49 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $46.77 | $51.29 | $52.48 |
Where Maryland sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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.
Maryland· 41st of 51
$245
WI $708UT $135
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.