How much rates vary
Professionalmedian $17 · 10th to 90th $9 to $23
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 $14.79 Median $14.79 Typical High $15.49 | Professional | None (both parts) | $14.79 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 26 · Professional part | $7.41 | $7.59 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $7.41 Typical High $7.94 | Professional | TC · Technical part | $7.41 | $7.41 | $7.94 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.91 Median $16.98 Typical High $19.05 | Professional | None (both parts) | $8.91 | $16.98 | $19.05 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $7.94 | $11.22 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $10.00 Typical High $10.00 | Professional | TC · Technical part | $9.12 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.20 Typical High $31.62 | Professional | None (both parts) | $15.49 | $18.20 | $31.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $8.51 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $9.55 Typical High $15.85 | Professional | TC · Technical part | $7.94 | $9.55 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $28.84 | Professional | None | $16.22 | $19.50 | $28.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $7.76 | $9.12 | $13.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $10.23 Typical High $14.79 | Professional | TC · Technical part | $8.51 | $10.23 | $14.79 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $16.98 Typical High $35.48 | Professional | None (both parts) | $13.18 | $16.98 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $17.78 | Professional | 26 · Professional part | $6.31 | $8.13 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $8.71 Typical High $17.38 | Professional | TC · Technical part | $6.76 | $8.71 | $17.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $20.89 | Professional | None (both parts) | $15.14 | $15.14 | $20.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $10.00 | Professional | 26 · Professional part | $7.41 | $7.41 | $10.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | TC · Technical part | $7.94 | $7.94 | $10.72 |
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 $7.41 Median $7.41 Typical High $7.76 | Professional | 52 · Reduced service | $7.41 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.09 |
Where Maryland sits
The same service costs 2.7 times more in Minnesota 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· 42nd of 51
$16.98
MN $38.02FL $14.13
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.