How much rates vary
Professionalmedian $126 · 10th to 90th $58 to $191
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 $112.20 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $61.66 | $64.57 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $47.86 | $56.23 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $57.54 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $57.54 | $125.89 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $64.57 | $69.18 | $93.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $41.69 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $309.03 | Professional | None (both parts) | $66.07 | $89.13 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $144.54 | Professional | 26 · Professional part | $36.31 | $44.67 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $147.91 | Professional | TC · Technical part | $27.54 | $35.48 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $229.09 | Professional | None | $147.91 | $186.21 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $100.00 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $104.71 | Professional | TC · Technical part | $66.07 | $83.18 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $95.50 | $141.25 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $158.49 | Professional | 26 · Professional part | $56.23 | $67.61 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $138.04 | Professional | TC · Technical part | $38.90 | $58.88 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $138.04 | $138.04 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $85.11 | $123.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $52.48 | $104.71 |
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 $56.23 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $24.55 | $24.55 |
Where Maryland sits
The same service costs 7.6 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· 41st of 51
$126
AK $457AL $60.26
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.