How much rates vary
Facilitymedian $468 · 10th to 90th $316 to $631Professionalmedian $355 · 10th to 90th $209 to $550
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 $316.23 Median $467.74 Typical High $630.96 | Facility | None | $316.23 | $467.74 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $213.80 | $316.23 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $51.29 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $269.15 | $524.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $302.00 | $354.81 | $398.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $58.88 | Professional | 26 · Professional part | $52.48 | $53.70 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $346.74 | Professional | TC · Technical part | $288.40 | $338.84 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $758.58 | Professional | None (both parts) | $165.96 | $213.80 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $114.82 | Professional | 26 · Professional part | $28.18 | $34.67 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $645.65 | Professional | TC · Technical part | $141.25 | $177.83 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $645.65 | Professional | None | $407.38 | $512.86 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $93.33 | Professional | 26 · Professional part | $63.10 | $77.62 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $436.52 Typical High $549.54 | Professional | TC · Technical part | $346.74 | $436.52 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $323.59 Typical High $831.76 | Professional | None (both parts) | $151.36 | $323.59 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $131.83 | Professional | 26 · Professional part | $41.69 | $53.70 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $275.42 Typical High $707.95 | Professional | TC · Technical part | $109.65 | $275.42 | $707.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $338.84 | $338.84 | $645.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $54.95 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $549.54 | Professional | TC · Technical part | $281.84 | $281.84 | $549.54 |
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 $151.36 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $151.36 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $72.44 | Professional | 53 · Discontinued | $60.26 | $64.57 | $72.44 |
Where Maryland sits
The same service costs 9.1 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· 28th of 51
$355
AK $891AL $97.72
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.