How much rates vary
Professionalmedian $562 · 10th to 90th $302 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 $537.03 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $537.03 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $288.40 Typical High $302.00 | Professional | 26 · Professional part | $281.84 | $288.40 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | TC · Technical part | $257.04 | $257.04 | $275.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $302.00 | $1,071.52 | $1,202.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $407.38 Typical High $478.63 | Professional | 26 · Professional part | $316.23 | $407.38 | $478.63 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $776.25 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $630.96 Typical High $1,174.90 | Professional | None (both parts) | $537.03 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $316.23 Typical High $616.60 | Professional | 26 · Professional part | $275.42 | $316.23 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $309.03 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $1,023.29 | Professional | None | $549.54 | $645.65 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $331.13 Typical High $524.81 | Professional | 26 · Professional part | $288.40 | $331.13 | $524.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $257.04 | $316.23 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $537.03 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $309.03 Typical High $691.83 | Professional | 26 · Professional part | $239.88 | $309.03 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $234.42 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $363.08 | Professional | 26 · Professional part | $245.47 | $245.47 | $363.08 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
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 $269.15 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $269.15 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | 53 · Discontinued | $107.15 | $107.15 | $112.20 |
Where Maryland sits
The same service costs 3.0 times more in Alaska 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· 46th of 51
$562
AK $1,288HI $437
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.