How much rates vary
Professionalmedian $71 · 10th to 90th $20 to $91
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 $70.79 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $19.95 | $20.42 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | TC · Technical part | $51.29 | $51.29 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.95 Median $66.07 Typical High $74.13 | Professional | None (both parts) | $19.95 | $66.07 | $74.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | 26 · Professional part | $22.39 | $22.39 | $26.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $45.71 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $63.10 | $70.79 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $35.48 | Professional | 26 · Professional part | $19.50 | $21.38 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $50.12 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $107.15 | Professional | None | $64.57 | $74.13 | $107.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $33.11 | Professional | 26 · Professional part | $19.50 | $22.91 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $43.65 | $51.29 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $147.91 | Professional | None (both parts) | $58.88 | $74.13 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $21.38 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $42.66 | $52.48 | $104.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $64.57 | $64.57 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $28.84 | Professional | 26 · Professional part | $20.42 | $20.42 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | TC · Technical part | $44.67 | $44.67 | $61.66 |
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 $35.48 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $14.45 | $15.49 |
Where Maryland sits
The same service costs 4.9 times more in Nebraska 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· 39th of 51
$70.79
NE $155UT $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.