How much rates vary
Professionalmedian $138 · 10th to 90th $41 to $204
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 $134.90 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $134.90 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $50.12 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $114.82 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $36.31 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $36.31 | $107.15 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $28.18 | $43.65 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $114.82 | $120.23 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $281.84 | Professional | None (both parts) | $117.49 | $131.83 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $87.10 | Professional | 26 · Professional part | $32.36 | $40.74 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $70.79 | $100.00 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $257.04 | Professional | None | $165.96 | $190.55 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $50.12 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $141.25 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $89.13 | $128.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $46.77 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $77.62 | $154.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $275.42 | Professional | None (both parts) | $83.18 | $83.18 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $67.61 | Professional | 26 · Professional part | $21.88 | $21.88 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $204.17 | Professional | TC · Technical part | $61.66 | $61.66 | $204.17 |
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 $66.07 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $66.07 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $26.92 | $30.20 | $35.48 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in New York. 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· 39th of 51
$138
AK $347NY $107
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.