How much rates vary
Professionalmedian $195 · 10th to 90th $60 to $288
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 $173.78 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $173.78 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $125.89 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | TC · Technical part | $47.86 | $47.86 | $52.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $60.26 | $194.98 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $138.04 | $154.88 | $154.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $79.43 | Professional | TC · Technical part | $53.70 | $53.70 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $177.83 | $204.17 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $128.82 | $147.91 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $144.54 | Professional | TC · Technical part | $48.98 | $57.54 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $346.74 | Professional | None | $177.83 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $128.82 | $151.36 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $58.88 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $173.78 | $245.47 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $309.03 | Professional | 26 · Professional part | $125.89 | $162.18 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $45.71 | $85.11 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $194.98 | $194.98 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $141.25 | $141.25 | $165.96 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $52.48 | $52.48 | $61.66 |
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 $87.10 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $87.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $34.67 | $36.31 | $36.31 |
Where Maryland sits
The same service costs 3.5 times more in Alaska 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· 43rd of 51
$195
AK $468UT $132
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.