How much rates vary
Facilitymedian $479 · 10th to 90th $380 to $575Professionalmedian $457 · 10th to 90th $234 to $759
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 $380.19 Median $478.63 Typical High $575.44 | Facility | None | $380.19 | $478.63 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $363.08 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $63.10 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $537.03 | Professional | TC · Technical part | $302.00 | $363.08 | $537.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $208.93 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $208.93 | $457.09 | $501.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $64.57 | $69.18 | $79.43 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $389.05 Typical High $436.52 | Professional | TC · Technical part | $363.08 | $389.05 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $1,071.52 | Professional | None (both parts) | $204.17 | $251.19 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $134.90 | Professional | 26 · Professional part | $33.88 | $40.74 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $218.78 Typical High $933.25 | Professional | TC · Technical part | $162.18 | $218.78 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $794.33 | Professional | None | $512.86 | $616.60 | $794.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $93.33 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $524.81 Typical High $660.69 | Professional | TC · Technical part | $436.52 | $524.81 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $1,122.02 | Professional | None (both parts) | $275.42 | $407.38 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $154.88 | Professional | 26 · Professional part | $47.86 | $61.66 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $331.13 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $331.13 | $891.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $346.74 | $346.74 | $812.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $72.44 | $114.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $691.83 | Professional | TC · Technical part | $269.15 | $269.15 | $691.83 |
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 $165.96 Median $190.55 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $75.86 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $75.86 | $85.11 |
Where Maryland sits
The same service costs 11.5 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· 33rd of 51
$457
AK $1,778AL $155
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.