How much rates vary
Professionalmedian $151 · 10th to 90th $32 to $229
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 $95.50 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $95.50 | $151.36 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $69.18 | Professional | 26 · Professional part | $23.44 | $30.90 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $120.23 | $234.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $32.36 | $158.49 | $177.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $30.20 | $35.48 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $120.23 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $331.13 | Professional | None (both parts) | $74.13 | $93.33 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $70.79 | Professional | 26 · Professional part | $16.98 | $20.89 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $263.03 | Professional | TC · Technical part | $57.54 | $72.44 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | None | $186.21 | $229.09 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $46.77 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $186.21 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $346.74 | Professional | None (both parts) | $83.18 | $138.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $79.43 | Professional | 26 · Professional part | $25.70 | $32.36 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $275.42 | Professional | TC · Technical part | $56.23 | $107.15 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $151.36 | $151.36 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $33.88 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $117.49 | $117.49 | $234.42 |
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 $63.10 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $63.10 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $30.20 | Professional | 53 · Discontinued | $25.12 | $26.92 | $30.20 |
Where Maryland sits
The same service costs 7.1 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· 36th of 51
$151
AK $417AL $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.