How much rates vary
Professionalmedian $83 · 10th to 90th $56 to $115
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 $77.62 Median $77.62 Typical High $83.18 | Professional | None (both parts) | $77.62 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | 26 · Professional part | $17.78 | $17.78 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | TC · Technical part | $58.88 | $58.88 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $70.79 | $89.13 | $100.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $19.05 | $20.89 | $20.89 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $79.43 | $79.43 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $72.44 | $95.50 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $18.62 | $20.42 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $75.86 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $173.78 | Professional | None | $107.15 | $125.89 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $25.12 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $81.28 | $102.33 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $61.66 Typical High $134.90 | Professional | None (both parts) | $43.65 | $61.66 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $37.15 | Professional | 26 · Professional part | $14.45 | $16.98 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $27.54 | $42.66 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $154.88 | Professional | None (both parts) | $56.23 | $56.23 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $30.90 | Professional | 26 · Professional part | $12.30 | $12.30 | $30.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $123.03 | Professional | TC · Technical part | $44.67 | $44.67 | $123.03 |
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 $38.90 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.60 |
Where Maryland sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 31st of 51
$83.18
ND $186KY $53.70
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.