How much rates vary
Facilitymedian $229 · 10th to 90th $182 to $363Professionalmedian $204 · 10th to 90th $166 to $355
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $363.08 | Facility | None | $181.97 | $229.09 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $181.97 | $194.98 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $35.48 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $158.49 | $288.40 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $190.55 | $213.80 | $229.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $35.48 | $39.81 | $39.81 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $154.88 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $181.97 | $213.80 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $37.15 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $177.83 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $363.08 | Professional | None | $204.17 | $239.88 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $44.67 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $162.18 | $194.98 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $177.83 | $239.88 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $23.44 | $38.02 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $199.53 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $162.18 | $162.18 | $316.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $31.62 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $131.83 | $257.04 |
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 $91.20 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $36.31 | $38.90 | $38.90 |
Where Maryland sits
The same service costs 3.2 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· 43rd of 51
$204
MN $501UT $158
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.