How much rates vary
Facilitymedian $148 · 10th to 90th $65 to $617Professionalmedian $282 · 10th to 90th $162 to $537
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 Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $346.74 | Facility | None | $251.19 | $316.23 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $251.19 | $263.03 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $218.78 | Professional | 26 · Professional part | $87.10 | $87.10 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $165.96 | $177.83 | $323.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $162.18 | $251.19 | $302.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $97.72 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $154.88 | $181.97 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $295.12 Typical High $741.31 | Professional | None (both parts) | $257.04 | $295.12 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $281.84 | Professional | 26 · Professional part | $89.13 | $104.71 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $199.53 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $588.84 | Professional | None | $281.84 | $323.59 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $112.20 | $194.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $186.21 | $213.80 | $398.11 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $251.19 | $354.81 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $213.80 | Professional | 26 · Professional part | $79.43 | $114.82 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $239.88 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $74.13 | $147.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
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 $125.89 Median $131.83 Typical High $141.25 | Professional | 52 · Reduced service | $125.89 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $52.48 | $56.23 |
Where Maryland sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 44th of 51
$263
WI $891HI $138
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.