How much rates vary
Professionalmedian $31 · 10th to 90th $11 to $56
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 $28.84 Median $30.20 Typical High $56.23 | Professional | None (both parts) | $28.84 | $30.20 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $9.55 | $9.77 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $20.89 | $35.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $10.96 Median $30.90 Typical High $33.88 | Professional | None (both parts) | $10.96 | $30.90 | $33.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.02 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $28.84 | $35.48 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $11.48 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.88 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $21.88 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $53.70 | Professional | None | $36.31 | $40.74 | $53.70 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $13.18 | $17.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $36.31 | Professional | TC · Technical part | $24.55 | $28.18 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $29.51 | $42.66 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $10.72 | $15.85 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $17.78 | $26.92 | $54.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $31.62 | $31.62 | $56.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $10.47 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $20.89 | $20.89 | $38.90 |
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 $14.45 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $5.75 | $6.17 | $6.17 |
Where Maryland sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 50th of 51
$30.90
AK $83.18FL $30.90
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.