How much rates vary
Professionalmedian $107 · 10th to 90th $69 to $151
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 $93.33 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $93.33 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $25.12 | $25.70 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $60.26 | $72.44 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $91.20 | $117.49 | $131.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $28.18 | $28.18 | $31.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $91.20 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $251.19 | Professional | None (both parts) | $54.95 | $66.07 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.38 Typical High $60.26 | Professional | 26 · Professional part | $14.45 | $17.38 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $190.55 | Professional | TC · Technical part | $38.90 | $51.29 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $204.17 | Professional | None | $138.04 | $165.96 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $41.69 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $158.49 | Professional | TC · Technical part | $104.71 | $125.89 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $229.09 | Professional | None (both parts) | $52.48 | $89.13 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $16.60 | $25.70 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $66.07 Typical High $169.82 | Professional | TC · Technical part | $35.48 | $66.07 | $169.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $97.72 | $97.72 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $28.18 | $50.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $69.18 | $165.96 |
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 $45.71 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $19.50 | $21.88 |
Where Maryland sits
The same service costs 4.6 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· 33rd of 51
$107
AK $269AL $58.88
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.