How much rates vary
Professionalmedian $47 · 10th to 90th $36 to $60
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 $45.71 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $45.71 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $25.12 | Professional | 26 · Professional part | $19.95 | $21.88 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $25.70 | $29.51 | $34.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $42.66 | $46.77 | $46.77 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $17.78 | $19.50 | $19.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $24.55 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $36.31 | $36.31 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $15.49 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $20.42 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $85.11 | Professional | None | $45.71 | $53.70 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $22.39 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $50.12 | Professional | TC · Technical part | $26.92 | $31.62 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $38.90 | $47.86 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $15.49 | $17.78 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $44.67 | Professional | TC · Technical part | $21.88 | $33.11 | $44.67 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $47.86 | $47.86 | $79.43 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $20.42 | $20.42 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $27.54 | $27.54 | $45.71 |
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 $23.44 Median $25.70 Typical High $30.20 | Professional | 52 · Reduced service | $23.44 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $12.02 | Professional | 53 · Discontinued | $9.33 | $10.23 | $12.02 |
Where Maryland sits
The same service costs 3.4 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· 30th of 51
$46.77
AK $123UT $36.31
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.