How much rates vary
Facilitymedian $166 · 10th to 90th $120 to $240Professionalmedian $151 · 10th to 90th $117 to $257
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 $165.96 Typical High $239.88 | Facility | None | $120.23 | $165.96 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $120.23 | $128.82 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $20.89 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $109.65 | $199.53 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $138.04 | $151.36 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $21.38 | $23.44 | $23.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $123.03 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $138.04 | $158.49 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $22.39 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $131.83 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $275.42 | Professional | None | $141.25 | $177.83 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $26.92 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $151.36 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $131.83 | $181.97 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.99 Typical High $54.95 | Professional | 26 · Professional part | $15.49 | $23.99 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $316.23 | Professional | TC · Technical part | $112.20 | $158.49 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $109.65 | $109.65 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $18.20 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $91.20 | $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 $60.26 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.30 |
Where Maryland sits
The same service costs 3.7 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· 40th of 51
$151
AK $355UT $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.