How much rates vary
Professionalmedian $155 · 10th to 90th $37 to $234
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 $147.91 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $147.91 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $33.11 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $114.82 | $123.03 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $33.11 | $120.23 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $38.90 | $51.29 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $141.25 | $169.82 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $38.90 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $134.90 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $302.00 | Professional | None | $158.49 | $194.98 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $41.69 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $154.88 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $107.15 | $158.49 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $28.84 | $38.90 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $77.62 | $123.03 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $123.03 | $123.03 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $27.54 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $95.50 | $204.17 |
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 $72.44 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $29.51 | $31.62 | $31.62 |
Where Maryland sits
The same service costs 3.0 times more in Alaska 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· 45th of 51
$155
AK $380UT $129
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.