How much rates vary
Professionalmedian $48 · 10th to 90th $28 to $62
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 $53.70 Typical High $61.66 | Professional | None (both parts) | $52.48 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $14.45 | Professional | 26 · Professional part | $9.12 | $10.96 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $42.66 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $28.18 | $31.62 | $31.62 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $11.22 | $12.59 | $12.59 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | TC · Technical part | $16.98 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $47.86 Typical High $53.70 | Professional | None (both parts) | $25.12 | $47.86 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $9.12 | $9.12 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $38.90 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $38.90 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $56.23 | Professional | None | $33.11 | $38.02 | $56.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $14.79 | $21.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $19.95 | $22.91 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $42.66 | $51.29 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $12.30 | Professional | 26 · Professional part | $8.13 | $9.55 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $40.74 | $66.07 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | None (both parts) | $31.62 | $31.62 | $34.67 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $6.31 | $14.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $20.89 | $25.70 | $25.70 |
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 $25.70 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $12.30 | Professional | 53 · Discontinued | $10.47 | $10.72 | $12.30 |
Where Maryland sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 37th of 51
$47.86
AK $110OH $33.11
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.