How much rates vary
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 $117.49 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $117.49 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $34.67 | Professional | 26 · Professional part | $20.89 | $21.38 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $165.96 | Professional | TC · Technical part | $95.50 | $104.71 | $165.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.99 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $23.99 | $125.89 | $138.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $112.20 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $117.49 | $141.25 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $22.91 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $97.72 | $117.49 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $234.42 | Professional | None | $128.82 | $154.88 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $26.92 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $125.89 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $114.82 | $154.88 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $22.39 Typical High $56.23 | Professional | 26 · Professional part | $12.02 | $22.39 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $134.90 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $104.71 | $104.71 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $19.05 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $85.11 | $85.11 | $165.96 |
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 $58.88 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $23.44 | $25.12 | $25.12 |
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· 45th of 51
$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.