How much rates vary
Facilitymedian $646 · 10th to 90th $407 to $1,380Professionalmedian $200 · 10th to 90th $112 to $389
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 $181.97 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $181.97 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $275.42 | Professional | 26 · Professional part | $107.15 | $109.65 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $72.44 | $79.43 | $91.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $112.20 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $112.20 | $194.98 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $75.86 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $50,118.72 | Facility | None | $501.19 | $501.19 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $181.97 | $213.80 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $346.74 | Professional | 26 · Professional part | $109.65 | $128.82 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $87.10 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $416.87 | Professional | None | $199.53 | $229.09 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $134.90 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $93.33 | $173.78 |
United Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,380.38 | Facility | None | $407.38 | $645.65 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $6,309.57 | Professional | None (both parts) | $169.82 | $245.47 | $6,309.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $97.72 | $144.54 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $6,165.95 | Professional | TC · Technical part | $67.61 | $100.00 | $6,165.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $93.33 | $177.83 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
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 $91.20 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $91.20 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $36.31 | $38.02 | $39.81 |
Where Maryland sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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
$214
OK $4,786HI $158
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.