How much rates vary
Facilitymedian $316 · 10th to 90th $234 to $468Professionalmedian $234 · 10th to 90th $89 to $363
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 $234.42 Median $316.23 Typical High $467.74 | Facility | None | $234.42 | $316.23 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $154.88 | $263.03 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $50.12 | $67.61 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $112.20 | $186.21 | $354.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $67.61 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $67.61 | $213.80 | $295.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $75.86 | $91.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $53.70 | $181.97 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $549.54 | Professional | None (both parts) | $134.90 | $151.36 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $144.54 | Professional | 26 · Professional part | $36.31 | $43.65 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $407.38 | Professional | TC · Technical part | $91.20 | $109.65 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $467.74 | Professional | None | $295.12 | $354.81 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $79.43 | $100.00 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $218.78 | $257.04 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $151.36 | $218.78 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $51.29 | $66.07 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $457.09 | Professional | TC · Technical part | $102.33 | $154.88 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $234.42 | $234.42 | $467.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $72.44 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $346.74 | Professional | TC · Technical part | $162.18 | $162.18 | $346.74 |
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 $112.20 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $46.77 | $52.48 |
Where Maryland sits
The same service costs 4.2 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· 40th of 51
$234
AK $575AL $138
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.