How much rates vary
Professionalmedian $78 · 10th to 90th $43 to $98
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 $74.13 Median $77.62 Typical High $85.11 | Professional | None (both parts) | $74.13 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $33.11 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | TC · Technical part | $40.74 | $40.74 | $44.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $85.11 | Professional | None (both parts) | $42.66 | $77.62 | $85.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $38.02 | $42.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $46.77 | $60.26 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $69.18 | $85.11 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $38.02 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $28.18 | $44.67 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $131.83 | Professional | None | $75.86 | $89.13 | $131.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $39.81 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $48.98 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $147.91 | Professional | None (both parts) | $48.98 | $67.61 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $38.90 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.90 Typical High $70.79 | Professional | TC · Technical part | $17.78 | $30.90 | $70.79 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $50.12 | $50.12 | $95.50 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $22.91 | $43.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $27.54 | $51.29 |
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 $37.15 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.85 |
Where Maryland sits
The same service costs 3.4 times more in Alaska than in New York. 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· 38th of 51
$77.62
AK $182NY $53.70
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.