How much rates vary
Facilitymedian $29 · 10th to 90th $22 to $44Professionalmedian $26 · 10th to 90th $22 to $65
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $21.88 Median $28.84 Typical High $43.65 | Facility | None | $21.88 | $28.84 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.99 Typical High $44.67 | Professional | None (both parts) | $21.88 | $23.99 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $2.82 Typical High $5.37 | Professional | 26 · Professional part | $2.69 | $2.82 | $5.37 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $20.89 | $40.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $21.88 Median $25.70 Typical High $29.51 | Professional | None (both parts) | $21.88 | $25.70 | $29.51 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.16 Typical High $3.16 | Professional | 26 · Professional part | $2.82 | $3.16 | $3.16 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $20.42 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $77.62 | Professional | None (both parts) | $23.44 | $27.54 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.39 Typical High $6.31 | Professional | 26 · Professional part | $3.02 | $3.39 | $6.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $67.61 | Professional | TC · Technical part | $20.42 | $24.55 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $46.77 | Professional | None | $25.12 | $30.20 | $46.77 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $3.98 Typical High $5.13 | Professional | 26 · Professional part | $3.47 | $3.98 | $5.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $41.69 | Professional | TC · Technical part | $21.88 | $26.30 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $41.69 Typical High $104.71 | Professional | None (both parts) | $21.88 | $41.69 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $3.63 Typical High $6.76 | Professional | 26 · Professional part | $2.69 | $3.63 | $6.76 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $102.33 | Professional | TC · Technical part | $19.50 | $37.15 | $102.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | None (both parts) | $23.44 | $23.44 | $39.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.02 Typical High $5.25 | Professional | 26 · Professional part | $3.02 | $3.02 | $5.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $34.67 | Professional | TC · Technical part | $20.42 | $20.42 | $34.67 |
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 $10.96 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.37 | $4.79 | $4.79 |
Where Maryland sits
The same service costs 2.9 times more in Kansas than in Maryland. 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· 51st of 51
$25.70
KS $74.13MD $25.70
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.