How much rates vary
Facilitymedian $316 · 10th to 90th $251 to $501Professionalmedian $288 · 10th to 90th $234 to $513
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 $251.19 Median $316.23 Typical High $501.19 | Facility | None | $251.19 | $316.23 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $251.19 | $269.15 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $51.29 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $218.78 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $269.15 | $295.12 | $295.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $57.54 | $57.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $213.80 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $251.19 | $309.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $239.88 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $501.19 | Professional | None | $275.42 | $331.13 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $63.10 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $380.19 | Professional | TC · Technical part | $208.93 | $269.15 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $245.47 | $338.84 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $275.42 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $223.87 | $223.87 | $436.52 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $45.71 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $181.97 | $354.81 |
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 $125.89 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $125.89 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $50.12 | $53.70 | $53.70 |
Where Maryland sits
The same service costs 3.3 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· 40th of 51
$288
MN $676UT $204
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.