How much rates vary
Facilitymedian $49 · 10th to 90th $36 to $72Professionalmedian $40 · 10th to 90th $11 to $63
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 $36.31 Median $48.98 Typical High $72.44 | Facility | None | $36.31 | $48.98 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $36.31 | $38.90 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $9.12 | $9.33 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $41.69 | Professional | TC · Technical part | $26.92 | $29.51 | $41.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $10.72 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $10.72 | $39.81 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $12.30 | Professional | 26 · Professional part | $9.55 | $9.55 | $12.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | TC · Technical part | $30.20 | $30.20 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $37.15 | $42.66 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $9.33 | $10.23 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $32.36 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $75.86 | Professional | None | $41.69 | $50.12 | $75.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $9.77 | $11.22 | $16.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $58.88 | Professional | TC · Technical part | $31.62 | $38.90 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $45.71 | $57.54 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $24.55 | Professional | 26 · Professional part | $10.23 | $12.02 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $33.88 | $44.67 | $83.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $41.69 | $41.69 | $58.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $14.13 | Professional | 26 · Professional part | $10.47 | $10.47 | $14.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $30.90 | $30.90 | $44.67 |
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 $18.20 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $18.20 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.24 | $7.76 | $7.76 |
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· 48th of 51
$39.81
MN $105UT $31.62
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.