How much rates vary
Facilitymedian $141 · 10th to 90th $112 to $224Professionalmedian $129 · 10th to 90th $105 to $229
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 $112.20 Median $141.25 Typical High $223.87 | Facility | None | $112.20 | $141.25 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $112.20 | $123.03 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $37.15 | Professional | 26 · Professional part | $19.50 | $19.95 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $102.33 | $186.21 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $120.23 | $134.90 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $19.95 | $21.88 | $21.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $102.33 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $114.82 | $128.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $21.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $104.71 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $223.87 | Professional | None | $123.03 | $147.91 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $24.55 | $36.31 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $123.03 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $107.15 | $151.36 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $50.12 | Professional | 26 · Professional part | $17.38 | $23.44 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $251.19 | Professional | TC · Technical part | $89.13 | $131.83 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $97.72 | $97.72 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $32.36 | Professional | 26 · Professional part | $16.60 | $16.60 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $81.28 | $162.18 |
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 $56.23 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $24.55 | $24.55 |
Where Maryland sits
The same service costs 4.0 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· 42nd of 51
$129
MN $380UT $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.