How much rates vary
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 $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $229.09 | $245.47 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $34.67 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $208.93 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $208.93 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $269.15 | Professional | None (both parts) | $239.88 | $263.03 | $269.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $38.90 | $38.90 |
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 $229.09 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $229.09 | $263.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $37.15 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $194.98 | $223.87 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $467.74 | Professional | None | $239.88 | $302.00 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $43.65 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $204.17 | $263.03 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $218.78 | $295.12 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $87.10 | Professional | 26 · Professional part | $22.39 | $37.15 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $257.04 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $208.93 | $208.93 | $398.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $31.62 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $177.83 | $338.84 |
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 $114.82 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $45.71 | $48.98 | $48.98 |
Where Maryland sits
The same service costs 3.2 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· 43rd of 51
$251
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.