How much rates vary
Facilitymedian $646 · 10th to 90th $407 to $1,380Professionalmedian $224 · 10th to 90th $65 to $407
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 $204.17 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $204.17 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $144.54 | $147.91 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $63.10 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $57.54 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $57.54 | $223.87 | $251.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $151.36 | $169.82 | $169.82 |
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 $208.93 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $208.93 | $251.19 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $177.83 Typical High $478.63 | Professional | 26 · Professional part | $151.36 | $177.83 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $72.44 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $467.74 | Professional | None | $229.09 | $263.03 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $331.13 | Professional | 26 · Professional part | $162.18 | $186.21 | $331.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $75.86 | $141.25 |
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 $190.55 Median $275.42 Typical High $6,309.57 | Professional | None (both parts) | $190.55 | $275.42 | $6,309.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $204.17 Typical High $363.08 | Professional | 26 · Professional part | $134.90 | $204.17 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $81.28 Typical High $6,025.60 | Professional | TC · Technical part | $45.71 | $81.28 | $6,025.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
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 $102.33 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $102.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $41.69 | $45.71 |
Where Maryland sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 48th of 51
$251
LA $1,288AL $224
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.