How much rates vary
Professionalmedian $58 · 10th to 90th $28 to $79
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 $60.26 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $60.26 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $38.90 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $30.20 | $35.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.18 Median $57.54 Typical High $63.10 | Professional | None (both parts) | $28.18 | $57.54 | $63.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $31.62 | $35.48 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $48.98 | $48.98 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $27.54 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $38.02 | Professional | TC · Technical part | $20.42 | $20.89 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $112.20 | Professional | None | $61.66 | $72.44 | $112.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $39.81 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $33.11 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $39.81 | $51.29 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $14.79 | $20.89 | $35.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $51.29 | $51.29 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $28.84 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $22.39 | $47.86 |
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 $30.20 Median $34.67 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $12.02 | $13.80 | $16.22 |
Where Maryland sits
The same service costs 3.7 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· 36th of 51
$57.54
AK $170FL $45.71
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.