How much rates vary
Professionalmedian $209 · 10th to 90th $110 to $316
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 $186.21 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $93.33 | $100.00 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $91.20 | $102.33 | $102.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $109.65 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $109.65 | $208.93 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $112.20 | Professional | 26 · Professional part | $100.00 | $102.33 | $112.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $104.71 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $501.19 | Professional | None (both parts) | $109.65 | $131.83 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $234.42 | Professional | 26 · Professional part | $52.48 | $67.61 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $275.42 | Professional | TC · Technical part | $52.48 | $63.10 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $371.54 | Professional | None | $234.42 | $295.12 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $177.83 | Professional | 26 · Professional part | $114.82 | $144.54 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $120.23 | $151.36 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $524.81 | Professional | None (both parts) | $162.18 | $204.17 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $251.19 | Professional | 26 · Professional part | $87.10 | $104.71 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $275.42 | Professional | TC · Technical part | $75.86 | $107.15 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $223.87 | $223.87 | $363.08 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $125.89 | $125.89 | $177.83 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $97.72 | $190.55 |
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 $93.33 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.90 Typical High $40.74 | Professional | 53 · Discontinued | $37.15 | $38.90 | $40.74 |
Where Maryland sits
The same service costs 6.5 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· 39th of 51
$209
AK $617AL $95.50
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.