How much rates vary
Facilitymedian $646 · 10th to 90th $407 to $1,380Professionalmedian $54 · 10th to 90th $41 to $95
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 $42.66 Median $43.65 Typical High $53.70 | Professional | None (both parts) | $42.66 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $33.11 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $10.00 Typical High $11.22 | Professional | TC · Technical part | $9.33 | $10.00 | $11.22 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $15.14 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $15.14 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $38.02 | $45.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | TC · Technical part | $9.77 | $10.96 | $10.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $141.25 | Professional | None (both parts) | $43.65 | $63.10 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $112.20 | Professional | 26 · Professional part | $34.67 | $48.98 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $13.80 Typical High $30.90 | Professional | TC · Technical part | $9.12 | $13.80 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $97.72 | Professional | None | $46.77 | $53.70 | $97.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $42.66 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.48 Typical High $21.88 | Professional | TC · Technical part | $10.00 | $11.48 | $21.88 |
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 $43.65 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $43.65 | $69.18 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $54.95 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $15.85 Typical High $26.30 | Professional | TC · Technical part | $9.55 | $15.85 | $26.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
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 $20.89 Median $21.88 Typical High $26.92 | Professional | 52 · Reduced service | $20.89 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $10.72 | Professional | 53 · Discontinued | $8.51 | $8.71 | $10.72 |
Where Maryland sits
The same service costs 51.3 times more in Oklahoma 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· 50th of 51
$58.88
OK $2,570NY $50.12
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.