How much rates vary
Professionalmedian $324 · 10th to 90th $245 to $468
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 $309.03 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $309.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | TC · Technical part | $77.62 | $77.62 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $245.47 | $338.84 | $371.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | 26 · Professional part | $295.12 | $346.74 | $426.58 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $89.13 | $100.00 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $302.00 | $354.81 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $501.19 | Professional | 26 · Professional part | $229.09 | $263.03 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $239.88 | Professional | TC · Technical part | $79.43 | $95.50 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $602.56 | Professional | None | $316.23 | $371.54 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $275.42 Typical High $436.52 | Professional | 26 · Professional part | $234.42 | $275.42 | $436.52 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $97.72 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $302.00 | $407.38 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $257.04 Typical High $562.34 | Professional | 26 · Professional part | $199.53 | $257.04 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $147.91 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $275.42 | $275.42 | $407.38 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $302.00 | Professional | 26 · Professional part | $208.93 | $208.93 | $302.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $70.79 | $70.79 | $102.33 |
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 $154.88 Median $154.88 Typical High $158.49 | Professional | 52 · Reduced service | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $61.66 | $61.66 | $64.57 |
Where Maryland sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 47th of 51
$324
WI $813UT $240
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.