How much rates vary
Facilitymedian $91 · 10th to 90th $66 to $132Professionalmedian $76 · 10th to 90th $38 to $129
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 $66.07 Median $91.20 Typical High $131.83 | Facility | None | $66.07 | $91.20 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $44.67 | $74.13 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $20.42 | Professional | 26 · Professional part | $7.59 | $9.77 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $64.57 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $18.62 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $18.62 | $75.86 | $85.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $12.59 | Professional | 26 · Professional part | $10.00 | $11.22 | $12.59 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $72.44 | Professional | TC · Technical part | $61.66 | $66.07 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $158.49 | Professional | None (both parts) | $36.31 | $42.66 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $6.46 Typical High $21.38 | Professional | 26 · Professional part | $5.37 | $6.46 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $138.04 | Professional | TC · Technical part | $31.62 | $36.31 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $134.90 | Professional | None | $87.10 | $104.71 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $11.75 | $14.79 | $21.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $89.13 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $61.66 Typical High $162.18 | Professional | None (both parts) | $50.12 | $61.66 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $24.55 | Professional | 26 · Professional part | $7.59 | $9.77 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $138.04 | Professional | TC · Technical part | $42.66 | $53.70 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $138.04 | Professional | None (both parts) | $64.57 | $64.57 | $138.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $10.47 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $53.70 | $117.49 |
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 $28.84 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $28.84 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.18 Typical High $14.79 | Professional | 53 · Discontinued | $11.75 | $13.18 | $14.79 |
Where Maryland sits
The same service costs 6.0 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· 30th of 51
$75.86
AK $209AL $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.