How much rates vary
Professionalmedian $151 · 10th to 90th $120 to $251
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 $123.03 Median $131.83 Typical High $151.36 | Professional | None (both parts) | $123.03 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $21.88 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $125.89 | Professional | TC · Technical part | $100.00 | $109.65 | $125.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $147.91 | $162.18 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $138.04 | $154.88 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $23.99 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $131.83 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $239.88 | Professional | None | $158.49 | $190.55 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $27.54 | $36.31 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $162.18 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $123.03 | $165.96 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $26.30 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $309.03 | Professional | TC · Technical part | $104.71 | $141.25 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $120.23 | $120.23 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $36.31 | Professional | 26 · Professional part | $20.42 | $20.42 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $100.00 | $100.00 | $181.97 |
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 $61.66 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $26.30 | $26.30 |
Where Maryland sits
The same service costs 3.8 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· 41st of 51
$151
AK $363UT $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.