How much rates vary
Facilitymedian $145 · 10th to 90th $65 to $617Professionalmedian $158 · 10th to 90th $107 to $275
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 $102.33 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $102.33 | $107.15 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $48.98 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $60.26 | $100.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $147.91 | $165.96 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $54.95 | $54.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $100.00 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $104.71 | $158.49 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $165.96 | Professional | 26 · Professional part | $48.98 | $74.13 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $56.23 | $87.10 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $257.04 | Professional | None | $165.96 | $190.55 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $87.10 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $89.13 | $102.33 | $141.25 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $131.83 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $83.18 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $114.82 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $47.86 | $117.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
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 $51.29 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $51.29 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $21.88 | $26.30 |
Where Maryland sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 43rd of 51
$158
WI $417VA $110
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.