How much rates vary
Professionalmedian $166 · 10th to 90th $123 to $263
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 $123.03 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $123.03 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $23.44 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $109.65 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $131.83 | $151.36 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $33.88 | $38.02 | $38.02 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $67.61 | $154.88 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $151.36 | $173.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $35.48 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $138.04 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $295.12 | Professional | None | $173.78 | $218.78 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $43.65 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $138.04 | $173.78 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $144.54 | $194.98 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $29.51 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $323.59 | Professional | TC · Technical part | $120.23 | $162.18 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $112.20 | $112.20 | $239.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $26.30 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $85.11 | $181.97 |
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 $61.66 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $26.30 | $26.30 |
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· 39th of 51
$166
AK $407UT $117
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.