How much rates vary
Facilitymedian $98 · 10th to 90th $78 to $105Professionalmedian $93 · 10th to 90th $78 to $158
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 $77.62 Median $97.72 Typical High $104.71 | Facility | None | $77.62 | $97.72 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $77.62 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $11.22 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $72.44 | $134.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $89.13 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $11.75 | $12.88 | $12.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $75.86 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $79.43 | $95.50 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $23.99 | Professional | 26 · Professional part | $11.22 | $12.02 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $67.61 | $83.18 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $151.36 | Professional | None | $89.13 | $107.15 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $14.13 | $21.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $93.33 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $75.86 | $107.15 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $29.51 | Professional | 26 · Professional part | $9.33 | $13.18 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $64.57 | $97.72 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $141.25 | Professional | None (both parts) | $87.10 | $87.10 | $141.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $12.02 | $12.02 | $18.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $123.03 | Professional | TC · Technical part | $74.13 | $74.13 | $123.03 |
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 $38.90 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $16.60 | $16.60 |
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· 41st of 51
$93.33
AK $209UT $63.10
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.