How much rates vary
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 $117.49 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $117.49 | $125.89 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $22.39 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $95.50 | $104.71 | $177.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $104.71 | $125.89 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $21.88 | $24.55 | $24.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $128.82 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $120.23 | $141.25 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $23.44 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $114.82 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $218.78 | Professional | None | $131.83 | $158.49 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $28.18 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $107.15 | $131.83 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $114.82 | $154.88 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $24.55 Typical High $57.54 | Professional | 26 · Professional part | $15.85 | $24.55 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $128.82 | $257.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $128.82 | $128.82 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $23.44 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $104.71 | $169.82 |
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 $58.88 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $23.44 | $25.12 | $25.12 |
Where Maryland sits
The same service costs 3.3 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· 47th of 51
$129
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.