How much rates vary
Professionalmedian $29 · 10th to 90th $12 to $42
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 $26.92 Median $26.92 Typical High $28.84 | Professional | None (both parts) | $26.92 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | 26 · Professional part | $10.96 | $10.96 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | TC · Technical part | $15.85 | $15.85 | $17.38 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $11.75 Median $19.95 Typical High $35.48 | Professional | None (both parts) | $11.75 | $19.95 | $35.48 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $14.45 | $16.60 | $19.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | TC · Technical part | $22.39 | $22.39 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.20 | $35.48 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $13.18 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $18.62 | $22.39 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $53.70 | Professional | None | $31.62 | $38.02 | $53.70 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $20.89 | Professional | 26 · Professional part | $11.48 | $13.49 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $19.95 | $24.55 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $26.30 | $35.48 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $26.92 | Professional | 26 · Professional part | $9.77 | $12.30 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $15.49 | $22.91 | $44.67 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $30.20 | $30.20 | $40.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $14.79 | Professional | 26 · Professional part | $11.48 | $11.48 | $14.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $25.70 | Professional | TC · Technical part | $18.62 | $18.62 | $25.70 |
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 $13.49 Median $13.49 Typical High $14.45 | Professional | 52 · Reduced service | $13.49 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.75 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.75 |
Where Maryland sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 49th of 51
$28.84
MN $74.13AL $28.18
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.