How much rates vary
Professionalmedian $170 · 10th to 90th $26 to $275
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 $147.91 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $147.91 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $21.88 | $22.39 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $138.04 | $199.53 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $23.44 | $169.82 | $190.55 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $25.70 | $36.31 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $147.91 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $154.88 | $186.21 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $23.99 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $162.18 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $302.00 | Professional | None | $177.83 | $213.80 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $28.18 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $151.36 | $181.97 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $144.54 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $19.50 | $25.70 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $181.97 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $165.96 | $165.96 | $281.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $23.99 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $144.54 | $144.54 | $239.88 |
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 $74.13 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $32.36 | $32.36 |
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· 44th of 51
$170
AK $417UT $126
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.