How much rates vary
Professionalmedian $59 · 10th to 90th $23 to $89
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 $54.95 Median $60.26 Typical High $61.66 | Professional | None (both parts) | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.42 Typical High $21.88 | Professional | 26 · Professional part | $19.05 | $20.42 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $35.48 | $40.74 | $40.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.91 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $22.91 | $56.23 | $66.07 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $20.89 | $22.39 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $36.31 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $125.89 | Professional | None (both parts) | $30.20 | $38.90 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $43.65 | Professional | 26 · Professional part | $10.96 | $13.80 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $83.18 | Professional | TC · Technical part | $19.50 | $25.70 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | None | $67.61 | $83.18 | $104.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $24.55 | $30.20 | $36.31 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $42.66 | $53.70 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $147.91 | Professional | None (both parts) | $42.66 | $60.26 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $50.12 | Professional | 26 · Professional part | $13.80 | $21.38 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $95.50 | Professional | TC · Technical part | $28.18 | $38.02 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $64.57 | $64.57 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $23.44 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $41.69 | $41.69 | $67.61 |
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 $27.54 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.30 |
Where Maryland sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$58.88
AK $182TX $41.69
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.