How much rates vary
Professionalmedian $43 · 10th to 90th $15 to $59
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 $37.15 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $37.15 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.22 Typical High $11.75 | Professional | 26 · Professional part | $10.96 | $11.22 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $26.30 | $28.18 | $28.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $14.79 Median $52.48 Typical High $57.54 | Professional | None (both parts) | $14.79 | $52.48 | $57.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $18.20 | Professional | 26 · Professional part | $13.18 | $13.18 | $18.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $38.90 | $38.90 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $42.66 | $48.98 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $12.30 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $30.90 | $36.31 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $77.62 | Professional | None | $45.71 | $54.95 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $13.49 | $19.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $34.67 | $41.69 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $33.88 | $39.81 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $11.48 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $28.84 | $58.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | None (both parts) | $38.02 | $38.02 | $66.07 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $10.00 | $16.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $27.54 | $27.54 | $48.98 |
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 $18.62 Median $19.05 Typical High $19.95 | Professional | 52 · Reduced service | $18.62 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $7.41 | $7.59 | $7.94 |
Where Maryland sits
The same service costs 2.9 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
$42.66
AK $89.13UT $30.90
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.