How much rates vary
Professionalmedian $129 · 10th to 90th $107 to $229
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 $107.15 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $107.15 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $54.95 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $58.88 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $117.49 | $128.82 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $56.23 | $61.66 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $60.26 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $112.20 | $134.90 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $67.61 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $213.80 | Professional | None | $128.82 | $151.36 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $72.44 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $79.43 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $107.15 | $162.18 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $141.25 | Professional | 26 · Professional part | $48.98 | $64.57 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $53.70 | $97.72 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $120.23 | $120.23 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $58.88 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $60.26 | $60.26 | $104.71 |
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 $53.70 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.38 | $22.91 | $22.91 |
Where Maryland sits
The same service costs 4.6 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
$129
AK $316UT $69.18
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.