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 $234.42 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $234.42 | $251.19 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $35.48 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $218.78 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $36.31 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $36.31 | $251.19 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $43.65 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $218.78 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $234.42 | $263.03 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $38.02 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $229.09 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $398.11 | Professional | None | $269.15 | $316.23 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $44.67 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $229.09 | $275.42 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $630.96 | Professional | None (both parts) | $208.93 | $288.40 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $39.81 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $537.03 | Professional | TC · Technical part | $181.97 | $251.19 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $234.42 | $234.42 | $416.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $35.48 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $199.53 | $199.53 | $363.08 |
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 $117.49 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $117.49 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $51.29 | $51.29 |
Where Maryland sits
The same service costs 3.1 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· 44th of 51
$251
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.