How much rates vary
Facilitymedian $151 · 10th to 90th $120 to $170Professionalmedian $141 · 10th to 90th $23 to $234
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 $120.23 Median $151.36 Typical High $169.82 | Facility | None | $120.23 | $151.36 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $120.23 | $131.83 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $36.31 | Professional | 26 · Professional part | $19.95 | $19.95 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $109.65 | $204.17 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $23.44 | $141.25 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 26 · Professional part | $20.89 | $20.89 | $22.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $117.49 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $125.89 | $147.91 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $21.88 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $125.89 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $239.88 | Professional | None | $144.54 | $169.82 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $25.70 | $36.31 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $144.54 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $117.49 | $165.96 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $51.29 | Professional | 26 · Professional part | $17.38 | $23.44 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $147.91 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $134.90 | $134.90 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $33.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $114.82 | $190.55 |
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 $60.26 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $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 3.3 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· 45th of 51
$141
AK $316UT $95.50
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.