How much rates vary
Facilitymedian $145 · 10th to 90th $65 to $617Professionalmedian $214 · 10th to 90th $66 to $490
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 Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $239.88 | Professional | None (both parts) | $102.33 | $107.15 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $79.43 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $60.26 | Professional | TC · Technical part | $25.70 | $28.18 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $66.07 Median $213.80 Typical High $239.88 | Professional | None (both parts) | $66.07 | $213.80 | $239.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $74.13 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $380.19 | Professional | None (both parts) | $74.13 | $104.71 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $275.42 | Professional | 26 · Professional part | $54.95 | $77.62 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $95.50 | Professional | TC · Technical part | $18.20 | $26.30 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $309.03 | Professional | None | $74.13 | $83.18 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $234.42 | Professional | 26 · Professional part | $54.95 | $63.10 | $234.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $81.28 | Professional | TC · Technical part | $18.62 | $21.38 | $81.28 |
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 $245.47 Median $416.87 Typical High $3,801.89 | Professional | None (both parts) | $245.47 | $416.87 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $165.96 Typical High $354.81 | Professional | 26 · Professional part | $102.33 | $165.96 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $208.93 Typical High $3,630.78 | Professional | TC · Technical part | $100.00 | $208.93 | $3,630.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
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 $51.29 Median $53.70 Typical High $79.43 | Professional | 52 · Reduced service | $51.29 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $31.62 | Professional | 53 · Discontinued | $20.42 | $21.38 | $31.62 |
Where Maryland sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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· 42nd of 51
$214
NE $724SC $151
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.