How much rates vary
Professionalmedian $251 · 10th to 90th $209 to $417
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 $213.80 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $213.80 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $83.18 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $144.54 | $245.47 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $223.87 Median $251.19 Typical High $263.03 | Professional | None (both parts) | $223.87 | $251.19 | $263.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $83.18 | $93.33 | $93.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $141.25 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $229.09 | $269.15 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $93.33 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $331.13 | Professional | TC · Technical part | $141.25 | $165.96 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $426.58 | Professional | None | $245.47 | $288.40 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $107.15 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $154.88 | $186.21 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $199.53 | $263.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $194.98 | Professional | 26 · Professional part | $48.98 | $85.11 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $190.55 | $338.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $208.93 | $208.93 | $380.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $81.28 | $141.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $128.82 | $245.47 |
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 $107.15 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $42.66 | $45.71 | $45.71 |
Where Maryland sits
The same service costs 4.7 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· 41st of 51
$251
AK $589UT $126
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.