How much rates vary
Professionalmedian $204 · 10th to 90th $120 to $363
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 $162.18 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $162.18 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $81.28 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $89.13 | $104.71 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $83.18 | $151.36 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $91.20 | $91.20 | $93.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $114.82 | $151.36 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $177.83 | $199.53 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $95.50 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $100.00 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $323.59 | Professional | None | $181.97 | $213.80 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $102.33 | $151.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $112.20 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $870.96 | Professional | None (both parts) | $190.55 | $363.08 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $95.50 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $275.42 Typical High $676.08 | Professional | TC · Technical part | $120.23 | $275.42 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $67.61 | $134.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $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 $81.28 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $33.88 | $33.88 |
Where Maryland sits
The same service costs 3.1 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· 47th of 51
$204
AK $537NY $174
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.