How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,995 to $7,079Professionalmedian $724 · 10th to 90th $372 to $1,349
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 $630.96 Median $660.69 Typical High $794.33 | Professional | None (both parts) | $630.96 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $363.08 Typical High $575.44 | Professional | 26 · Professional part | $354.81 | $363.08 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $275.42 | $295.12 | $354.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $371.54 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $371.54 | $724.44 | $794.33 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | 26 · Professional part | $407.38 | $407.38 | $436.52 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $309.03 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $7,244.36 | Facility | None | $3,801.89 | $4,466.84 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $776.25 Typical High $1,949.84 | Professional | None (both parts) | $630.96 | $776.25 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $1,174.90 | Professional | 26 · Professional part | $363.08 | $426.58 | $1,174.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $275.42 | $346.74 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,445.44 | Professional | None | $707.95 | $812.83 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $446.68 Typical High $794.33 | Professional | 26 · Professional part | $389.05 | $446.68 | $794.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $309.03 | $354.81 | $645.65 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None (both parts) Typical Low $602.56 Median $891.25 Typical High $12,589.25 | Professional | None (both parts) | $602.56 | $891.25 | $12,589.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $489.78 Typical High $870.96 | Professional | 26 · Professional part | $331.13 | $489.78 | $870.96 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $380.19 Typical High $12,022.64 | Professional | TC · Technical part | $234.42 | $380.19 | $12,022.64 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
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 $316.23 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $316.23 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $131.83 | $141.25 |
Where Maryland sits
The same service costs 7.1 times more in Texas 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· 39th of 51
$891
TX $3,981HI $562
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.