How much rates vary
Facilitymedian $79 · 10th to 90th $20 to $617Professionalmedian $54 · 10th to 90th $29 to $98
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 Facility Modifier None Typical Low $56.23 Median $61.66 Typical High $89.13 | Facility | None | $56.23 | $61.66 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $44.67 | $48.98 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $28.18 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $37.15 | Professional | TC · Technical part | $18.20 | $21.38 | $37.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $22.39 | $51.29 | $72.44 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $32.36 | $56.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $28.18 | Professional | TC · Technical part | $21.88 | $24.55 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $22.39 Typical High $36.31 | Facility | None | $19.50 | $22.39 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $117.49 | Professional | None (both parts) | $46.77 | $57.54 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $35.48 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $50.12 | Professional | TC · Technical part | $18.20 | $22.39 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $89.13 | Professional | None | $53.70 | $63.10 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $35.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $37.15 | Professional | TC · Technical part | $22.39 | $27.54 | $37.15 |
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 $42.66 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $42.66 | $63.10 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $38.90 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $15.49 | $24.55 | $46.77 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $45.71 | $45.71 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $26.92 | $46.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $36.31 | Professional | TC · Technical part | $19.05 | $19.05 | $36.31 |
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 $22.39 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $22.39 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.33 Typical High $9.77 | Professional | 53 · Discontinued | $8.91 | $9.33 | $9.77 |
Where Maryland sits
The same service costs 6.5 times more in Minnesota 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.
Maryland· 38th of 51
$54.95
MN $295KY $45.71
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.