How much rates vary
Facilitymedian $151 · 10th to 90th $54 to $741Professionalmedian $200 · 10th to 90th $135 to $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 $169.82 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $169.82 | $223.87 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $42.66 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $173.78 | $263.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $138.04 | $199.53 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $43.65 | $47.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $120.23 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $588.84 Typical High $2,691.53 | Facility | None | $50.12 | $588.84 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $537.03 | Professional | None (both parts) | $147.91 | $181.97 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $117.49 | Professional | 26 · Professional part | $39.81 | $46.77 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $416.87 | Professional | TC · Technical part | $104.71 | $141.25 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $346.74 | Professional | None | $169.82 | $194.98 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $47.86 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $281.84 | Professional | TC · Technical part | $128.82 | $151.36 | $281.84 |
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 $144.54 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $144.54 | $213.80 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $107.15 | $158.49 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $257.04 | Professional | None (both parts) | $112.20 | $112.20 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $25.70 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $85.11 | $199.53 |
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 $97.72 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $97.72 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $38.90 | $43.65 | $44.67 |
Where Maryland sits
The same service costs 5.6 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.
Maryland· 38th of 51
$200
AK $759TX $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.