How much rates vary
Facilitymedian $123 · 10th to 90th $91 to $182Professionalmedian $102 · 10th to 90th $22 to $174
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 $91.20 Median $123.03 Typical High $181.97 | Facility | None | $91.20 | $123.03 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $81.28 | $102.33 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $21.38 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $61.66 | $79.43 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $21.88 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $21.88 | $102.33 | $114.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $24.55 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $89.13 | Professional | TC · Technical part | $75.86 | $81.28 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $213.80 | Professional | None (both parts) | $51.29 | $57.54 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $46.77 | Professional | 26 · Professional part | $11.75 | $14.45 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $169.82 | Professional | TC · Technical part | $37.15 | $44.67 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $181.97 | Professional | None | $117.49 | $138.04 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $33.11 | $44.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $91.20 | $109.65 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $218.78 | Professional | None (both parts) | $69.18 | $85.11 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $54.95 | Professional | 26 · Professional part | $16.98 | $21.38 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $51.29 | $63.10 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $87.10 | $87.10 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $22.91 | $22.91 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $64.57 | $144.54 |
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 $40.74 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $16.22 | $18.20 | $20.42 |
Where Maryland sits
The same service costs 5.5 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· 29th of 51
$102
AK $269AL $48.98
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.