How much rates vary
Professionalmedian $47 · 10th to 90th $8 to $71
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 $52.48 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $52.48 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $10.72 | Professional | 26 · Professional part | $8.51 | $9.55 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $43.65 | $51.29 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.59 Median $39.81 Typical High $56.23 | Professional | None (both parts) | $7.59 | $39.81 | $56.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $43.65 Typical High $50.12 | Professional | None (both parts) | $42.66 | $43.65 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $8.91 | Professional | 26 · Professional part | $6.92 | $6.92 | $8.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | TC · Technical part | $36.31 | $36.31 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $89.13 | Professional | None | $56.23 | $64.57 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $13.49 | Professional | 26 · Professional part | $8.51 | $9.55 | $13.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $74.13 | Professional | TC · Technical part | $47.86 | $54.95 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $32.36 | $38.90 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $6.17 | $7.24 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $31.62 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $44.67 | $44.67 | $58.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $9.12 | Professional | 26 · Professional part | $6.92 | $6.92 | $9.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $38.02 | $50.12 |
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 $26.92 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $26.92 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $14.13 | Professional | 53 · Discontinued | $10.72 | $12.02 | $14.13 |
Where Maryland sits
The same service costs 3.5 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· 38th of 51
$46.77
AK $135NJ $38.90
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.