How much rates vary
Facilitymedian $200 · 10th to 90th $182 to $288Professionalmedian $155 · 10th to 90th $35 to $240
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 $181.97 Median $199.53 Typical High $288.40 | Facility | None | $181.97 | $199.53 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $141.25 | $162.18 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $34.67 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $104.71 | $128.82 | $223.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $35.48 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $35.48 | $151.36 | $177.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $33.11 | $34.67 | $47.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $117.49 | $123.03 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $338.84 | Professional | None (both parts) | $81.28 | $100.00 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $27.54 Typical High $74.13 | Professional | 26 · Professional part | $18.62 | $27.54 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $263.03 | Professional | TC · Technical part | $58.88 | $75.86 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $288.40 | Professional | None | $177.83 | $213.80 | $288.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $52.48 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $138.04 | $165.96 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $104.71 | $141.25 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $38.90 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $69.18 | $109.65 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $154.88 | $154.88 | $281.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $38.02 | $64.57 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $117.49 | $218.78 |
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 $70.79 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $32.36 | $32.36 |
Where Maryland sits
The same service costs 4.9 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
$155
AK $468AL $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.