How much rates vary
Facilitymedian $224 · 10th to 90th $178 to $355Professionalmedian $191 · 10th to 90th $158 to $324
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 $177.83 Median $223.87 Typical High $354.81 | Facility | None | $177.83 | $223.87 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $177.83 | $190.55 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $30.90 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $162.18 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $158.49 | $190.55 | $208.93 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $30.20 | $33.88 | $33.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $190.55 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $177.83 | $204.17 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $33.88 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $169.82 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $354.81 | Professional | None | $194.98 | $234.42 | $354.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $38.02 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $162.18 | $194.98 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $173.78 | $234.42 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $35.48 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $398.11 | Professional | TC · Technical part | $144.54 | $199.53 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $158.49 | $158.49 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $26.92 | $50.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $131.83 | $257.04 |
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 $89.13 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $38.02 | $38.02 |
Where Maryland sits
The same service costs 3.5 times more in Minnesota 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
$191
MN $550UT $158
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.