How much rates vary
Professionalmedian $123 · 10th to 90th $17 to $158
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 $120.23 Median $120.23 Typical High $128.82 | Professional | None (both parts) | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $13.49 | $13.80 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $102.33 | $107.15 | $114.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $16.60 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $16.60 | $144.54 | $158.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $128.82 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $97.72 | $97.72 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $20.89 | Professional | 26 · Professional part | $13.18 | $13.18 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $85.11 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $218.78 | Professional | None | $128.82 | $158.49 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $16.22 | $25.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $141.25 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $61.66 | $93.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $12.02 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $81.28 | $144.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $229.09 | Professional | None (both parts) | $83.18 | $83.18 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $23.44 | Professional | 26 · Professional part | $8.91 | $8.91 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $74.13 | $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 $60.26 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $23.99 | $25.70 |
Where Maryland sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 26th of 51
$123
AK $245FL $81.28
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.