How much rates vary
Professionalmedian $275 · 10th to 90th $46 to $457
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 $251.19 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $251.19 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $42.66 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $234.42 | $309.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $45.71 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $45.71 | $251.19 | $275.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $40.74 | $40.74 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $208.93 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $251.19 | $275.42 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $45.71 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $229.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $489.78 | Professional | None | $275.42 | $346.74 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $54.95 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $398.11 | Professional | TC · Technical part | $229.09 | $288.40 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $645.65 | Professional | None (both parts) | $234.42 | $316.23 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $36.31 | $48.98 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $263.03 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $218.78 | $218.78 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $37.15 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $181.97 | $380.19 |
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 $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $54.95 | $54.95 |
Where Maryland sits
The same service costs 3.0 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· 39th of 51
$275
AK $646UT $214
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.