How much rates vary
Professionalmedian $79 · 10th to 90th $45 to $132
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None (both parts) Typical Low $72.44 Median $81.28 Typical High $165.96 | Professional | None (both parts) | $72.44 | $81.28 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.60 Typical High $41.69 | Professional | 26 · Professional part | $15.85 | $16.60 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $64.57 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $38.02 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $38.02 | $79.43 | $87.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.60 Typical High $18.20 | Professional | 26 · Professional part | $16.22 | $16.60 | $18.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $58.88 | $61.66 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $181.97 | Professional | None (both parts) | $39.81 | $47.86 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $36.31 | Professional | 26 · Professional part | $8.71 | $11.75 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $147.91 | Professional | TC · Technical part | $31.62 | $37.15 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $141.25 | Professional | None | $87.10 | $104.71 | $141.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $19.50 | $23.99 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $67.61 | $81.28 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $61.66 | $77.62 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $42.66 | Professional | 26 · Professional part | $14.45 | $18.20 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $60.26 | $154.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $81.28 | $81.28 | $138.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $19.50 | $29.51 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $61.66 | $61.66 | $107.15 |
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 $36.31 Median $37.15 Typical High $40.74 | Professional | 52 · Reduced service | $36.31 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $16.22 | Professional | 53 · Discontinued | $14.45 | $14.79 | $16.22 |
Where Maryland sits
The same service costs 4.0 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· 37th of 51
$79.43
AK $234AL $58.88
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.