How much rates vary
Facilitymedian $145 · 10th to 90th $65 to $617Professionalmedian $151 · 10th to 90th $71 to $275
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 $151.36 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $151.36 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $69.18 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $89.13 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $70.79 | $89.13 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $89.13 | Professional | 26 · Professional part | $66.07 | $79.43 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $75.86 | $91.20 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $457.09 | Professional | None (both parts) | $154.88 | $177.83 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $223.87 | Professional | 26 · Professional part | $70.79 | $85.11 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $102.33 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $354.81 | Professional | None | $169.82 | $194.98 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $87.10 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $107.15 | $199.53 |
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 $144.54 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $144.54 | $199.53 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $93.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $112.20 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
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 $75.86 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $31.62 | $33.88 |
Where Maryland sits
The same service costs 4.3 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· 46th of 51
$151
WI $562HI $132
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.