How much rates vary
Facilitymedian $60 · 10th to 90th $55 to $87Professionalmedian $47 · 10th to 90th $23 to $72
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 $54.95 Median $60.26 Typical High $87.10 | Facility | None | $54.95 | $60.26 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $102.33 | Professional | None (both parts) | $37.15 | $47.86 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $58.88 | Professional | 26 · Professional part | $20.89 | $25.12 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $22.91 | $40.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $23.44 | $47.86 | $54.95 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $25.70 | $28.84 | $33.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $21.88 Typical High $28.84 | Professional | TC · Technical part | $11.75 | $21.88 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $102.33 | Professional | None (both parts) | $25.12 | $28.84 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $53.70 | Professional | 26 · Professional part | $13.49 | $16.60 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $12.88 Typical High $48.98 | Professional | TC · Technical part | $10.72 | $12.88 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $85.11 | Professional | None | $56.23 | $67.61 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $38.02 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $26.30 | $31.62 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $42.66 Typical High $107.15 | Professional | None (both parts) | $27.54 | $42.66 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $63.10 | Professional | 26 · Professional part | $19.05 | $25.12 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $18.20 Typical High $46.77 | Professional | TC · Technical part | $7.94 | $18.20 | $46.77 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $46.77 | $46.77 | $87.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $26.92 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $19.05 | $41.69 |
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 $18.62 Median $21.88 Typical High $23.99 | Professional | 52 · Reduced service | $18.62 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $7.41 | $8.71 | $9.55 |
Where Maryland sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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
$46.77
AK $141LA $30.20
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.