How much rates vary
Professionalmedian $117 · 10th to 90th $91 to $162
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 $102.33 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $102.33 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $48.98 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | TC · Technical part | $52.48 | $52.48 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $95.50 | $131.83 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $53.70 | $60.26 | $60.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $64.57 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $107.15 | $125.89 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $57.54 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $54.95 | $67.61 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $194.98 | Professional | None | $109.65 | $128.82 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $57.54 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $58.88 | $72.44 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $91.20 | $112.20 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $56.23 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $56.23 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $56.23 | $114.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $91.20 | $91.20 | $141.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $42.66 | $64.57 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $48.98 | $75.86 |
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 $51.29 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $51.29 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $20.42 | $20.42 | $21.38 |
Where Maryland sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 42nd of 51
$117
MN $269UT $70.79
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.