How much rates vary
Professionalmedian $269 · 10th to 90th $54 to $380
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 $257.04 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $213.80 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $43.65 | $43.65 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $53.70 | $269.15 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $218.78 | $245.47 | $245.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $47.86 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $257.04 | $302.00 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $245.47 Typical High $457.09 | Professional | 26 · Professional part | $213.80 | $245.47 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $97.72 | Professional | TC · Technical part | $41.69 | $53.70 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $489.78 | Professional | None | $263.03 | $309.03 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $251.19 Typical High $407.38 | Professional | 26 · Professional part | $213.80 | $251.19 | $407.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $74.13 | Professional | TC · Technical part | $44.67 | $54.95 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $234.42 | $309.03 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $501.19 | Professional | 26 · Professional part | $194.98 | $239.88 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $52.48 Typical High $131.83 | Professional | TC · Technical part | $33.88 | $52.48 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $269.15 | $269.15 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | 26 · Professional part | $223.87 | $223.87 | $275.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $46.77 | $46.77 | $57.54 |
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 $128.82 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $51.29 | $53.70 |
Where Maryland sits
The same service costs 3.3 times more in Minnesota 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· 45th of 51
$269
MN $661UT $200
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.