How much rates vary
Facilitymedian $145 · 10th to 90th $65 to $617Professionalmedian $245 · 10th to 90th $209 to $1,778
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 $208.93 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $208.93 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $158.49 Typical High $194.98 | Professional | 26 · Professional part | $154.88 | $158.49 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $57.54 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $177.83 | $177.83 | $436.52 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $162.18 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $213.80 | $245.47 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $501.19 | Professional | 26 · Professional part | $158.49 | $186.21 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $186.21 | Professional | TC · Technical part | $53.70 | $63.10 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $489.78 | Professional | None | $234.42 | $263.03 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $199.53 Typical High $363.08 | Professional | 26 · Professional part | $173.78 | $199.53 | $363.08 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $69.18 | $125.89 |
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 $190.55 Median $446.68 Typical High $12,589.25 | Professional | None (both parts) | $190.55 | $446.68 | $12,589.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $213.80 Typical High $389.05 | Professional | 26 · Professional part | $141.25 | $213.80 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $114.82 Typical High $12,302.69 | Professional | TC · Technical part | $47.86 | $114.82 | $12,302.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
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 $104.71 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $104.71 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $43.65 | $46.77 |
Where Maryland sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 51st of 51
$229
WI $1,047MD $229
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.