How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $166Professionalmedian $138 · 10th to 90th $123 to $214
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 $151.36 Median $151.36 Typical High $165.96 | Facility | None | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $123.03 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $21.88 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $109.65 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $128.82 | $134.90 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $21.38 | $24.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $114.82 | $114.82 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $131.83 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $22.39 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $131.83 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $234.42 | Professional | None | $138.04 | $169.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $23.99 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $144.54 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $134.90 | $169.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $21.88 Typical High $43.65 | Professional | 26 · Professional part | $10.00 | $21.88 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $154.88 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $109.65 | $109.65 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $30.20 | Professional | 26 · Professional part | $18.62 | $18.62 | $30.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $144.54 | Professional | TC · Technical part | $91.20 | $91.20 | $144.54 |
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 $60.26 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $25.70 | $26.30 |
Where Maryland sits
The same service costs 3.7 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
$138
AK $363UT $97.72
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.