How much rates vary
Professionalmedian $603 · 10th to 90th $174 to $1,202
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 $407.38 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $407.38 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | TC · Technical part | $245.47 | $245.47 | $269.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $173.78 | $1,071.52 | $1,202.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | 26 · Professional part | $190.55 | $190.55 | $239.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $407.38 | $478.63 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $346.74 | Professional | 26 · Professional part | $158.49 | $181.97 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $251.19 | $295.12 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $794.33 | Professional | None | $416.87 | $489.78 | $794.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $302.00 | Professional | 26 · Professional part | $162.18 | $190.55 | $302.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $251.19 | $302.00 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $812.83 | Professional | None (both parts) | $257.04 | $398.11 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $389.05 | Professional | 26 · Professional part | $138.04 | $177.83 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $104.71 | $213.80 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $141.25 | $141.25 | $208.93 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
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 $204.17 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 53 · Discontinued | $81.28 | $81.28 | $87.10 |
Where Maryland sits
The same service costs 3.0 times more in Wisconsin than in North 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· 22nd of 51
$603
WI $1,000NC $331
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.