How much rates vary
Professionalmedian $933 · 10th to 90th $759 to $1,585
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 $870.96 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $870.96 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $112.20 Typical High $114.82 | Professional | 26 · Professional part | $109.65 | $112.20 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $758.58 | $831.76 | $831.76 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $758.58 Median $870.96 Typical High $977.24 | Professional | None (both parts) | $758.58 | $870.96 | $977.24 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $114.82 | $125.89 | $125.89 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $112.20 | $123.03 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $870.96 Typical High $1,621.81 | Professional | TC · Technical part | $707.95 | $870.96 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,174.90 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $144.54 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,023.29 Typical High $1,380.38 | Professional | TC · Technical part | $912.01 | $1,023.29 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,174.90 Typical High $2,511.89 | Professional | None (both parts) | $794.33 | $1,174.90 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $141.25 Typical High $309.03 | Professional | 26 · Professional part | $95.50 | $141.25 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,023.29 Typical High $2,187.76 | Professional | TC · Technical part | $707.95 | $1,023.29 | $2,187.76 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,659.59 | Professional | None (both parts) | $851.14 | $851.14 | $1,659.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | 26 · Professional part | $114.82 | $114.82 | $204.17 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $1,479.11 | Professional | TC · Technical part | $724.44 | $724.44 | $1,479.11 |
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 $426.58 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $426.58 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $173.78 | $186.21 | $186.21 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in Utah. 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
$933
AK $2,455UT $759
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.