How much rates vary
Professionalmedian $79 · 10th to 90th $44 to $112
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 $83.18 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $83.18 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $48.98 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $38.90 | $46.77 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $43.65 | $79.43 | $87.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $38.90 | $43.65 | $43.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $64.57 | $64.57 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $33.88 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $30.90 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $154.88 | Professional | None | $85.11 | $100.00 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $50.12 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $51.29 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $52.48 | $72.44 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $37.15 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $34.67 | $56.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $144.54 | Professional | None (both parts) | $67.61 | $67.61 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $33.88 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $33.11 | $74.13 |
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 $41.69 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $19.05 | $22.39 |
Where Maryland sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 35th of 51
$79.43
AK $229NJ $61.66
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.