How much rates vary
Professionalmedian $60 · 10th to 90th $25 to $76
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 $60.26 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $42.66 | Professional | 26 · Professional part | $40.74 | $41.69 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | TC · Technical part | $19.50 | $19.50 | $20.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $24.55 | $50.12 | $74.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $53.70 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | TC · Technical part | $22.39 | $22.39 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $138.04 | Professional | None (both parts) | $60.26 | $66.07 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $44.67 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $20.89 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $97.72 | Professional | None | $45.71 | $70.79 | $97.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $46.77 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $30.90 | Professional | TC · Technical part | $14.79 | $22.91 | $30.90 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $165.96 | Professional | None (both parts) | $51.29 | $75.86 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $53.70 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.91 Typical High $48.98 | Professional | TC · Technical part | $15.49 | $22.91 | $48.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $102.33 | Professional | None (both parts) | $54.95 | $54.95 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $37.15 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $33.11 | Professional | TC · Technical part | $17.78 | $17.78 | $33.11 |
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 $29.51 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $29.51 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.02 | $12.59 | $12.59 |
Where Maryland sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 45th of 51
$60.26
AK $170TX $43.65
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.