How much rates vary
Facilitymedian $129 · 10th to 90th $95 to $186Professionalmedian $105 · 10th to 90th $40 to $170
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 $95.50 Median $128.82 Typical High $186.21 | Facility | None | $95.50 | $128.82 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $95.50 | $104.71 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $35.48 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $69.18 | $114.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $39.81 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $39.81 | $104.71 | $117.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $35.48 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $64.57 | $69.18 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $275.42 | Professional | None (both parts) | $53.70 | $77.62 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $95.50 | Professional | 26 · Professional part | $19.05 | $26.92 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $181.97 | Professional | TC · Technical part | $34.67 | $51.29 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | None | $123.03 | $151.36 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $52.48 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $100.00 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $275.42 | Professional | None (both parts) | $89.13 | $112.20 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $39.81 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $181.97 | Professional | TC · Technical part | $57.54 | $72.44 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $125.89 | $125.89 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $43.65 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $83.18 | $125.89 |
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 $46.77 Median $47.86 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $19.05 | $19.50 | $20.89 |
Where Maryland sits
The same service costs 4.5 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· 43rd of 51
$105
AK $316AL $70.79
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.