How much rates vary
Facilitymedian $129 · 10th to 90th $129 to $182Professionalmedian $123 · 10th to 90th $31 to $182
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 $128.82 Median $128.82 Typical High $181.97 | Facility | None | $128.82 | $128.82 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $109.65 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $29.51 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $112.20 | Professional | TC · Technical part | $79.43 | $100.00 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.90 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $30.90 | $123.03 | $144.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $28.18 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $309.03 | Professional | None (both parts) | $66.07 | $81.28 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $66.07 | Professional | 26 · Professional part | $16.60 | $20.42 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $245.47 | Professional | TC · Technical part | $45.71 | $64.57 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Professional | None | $158.49 | $190.55 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $45.71 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $147.91 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $275.42 | Professional | None (both parts) | $72.44 | $112.20 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $30.90 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $204.17 | Professional | TC · Technical part | $48.98 | $79.43 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $117.49 | $117.49 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $33.88 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $83.18 | $194.98 |
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 $54.95 Median $64.57 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $25.70 | $28.84 |
Where Maryland sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 34th of 51
$123
AK $331AL $57.54
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.