How much rates vary
Facilitymedian $55 · 10th to 90th $44 to $68Professionalmedian $48 · 10th to 90th $32 to $87
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 $43.65 Median $54.95 Typical High $67.61 | Facility | None | $43.65 | $54.95 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $102.33 | Professional | None (both parts) | $32.36 | $45.71 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $27.54 Typical High $63.10 | Professional | 26 · Professional part | $18.62 | $27.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $17.78 Typical High $37.15 | Professional | TC · Technical part | $12.02 | $17.78 | $37.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $51.29 | Professional | None (both parts) | $41.69 | $44.67 | $51.29 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $26.30 | $28.18 | $30.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $20.42 | Professional | TC · Technical part | $18.20 | $18.20 | $20.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $131.83 | Professional | None (both parts) | $25.70 | $30.20 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $63.10 | Professional | 26 · Professional part | $15.49 | $19.05 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $11.48 Typical High $43.65 | Professional | TC · Technical part | $10.23 | $11.48 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $89.13 | Professional | None | $57.54 | $70.79 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $43.65 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $28.84 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $114.82 | Professional | None (both parts) | $34.67 | $44.67 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $74.13 | Professional | 26 · Professional part | $19.50 | $28.84 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $50.12 | Professional | TC · Technical part | $13.80 | $16.22 | $50.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $48.98 | $48.98 | $89.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $31.62 | $52.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $36.31 | Professional | TC · Technical part | $17.38 | $17.38 | $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 $21.38 Median $21.88 Typical High $23.99 | Professional | 52 · Reduced service | $21.38 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $8.51 | $8.71 | $9.55 |
Where Maryland sits
The same service costs 3.2 times more in Wisconsin than in Nevada. 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· 45th of 51
$47.86
WI $112NV $34.67
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.