How much rates vary
Professionalmedian $1,047 · 10th to 90th $135 to $1,479
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 $912.01 Median $954.99 Typical High $1,071.52 | Professional | None (both parts) | $912.01 | $954.99 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $851.14 Typical High $933.25 | Professional | TC · Technical part | $812.83 | $851.14 | $933.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,047.13 Typical High $1,174.90 | Professional | None (both parts) | $134.90 | $1,047.13 | $1,174.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $120.23 | $120.23 | $154.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $933.25 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,071.52 Typical High $2,187.76 | Professional | None (both parts) | $870.96 | $1,071.52 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $128.82 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $954.99 Typical High $1,949.84 | Professional | TC · Technical part | $776.25 | $954.99 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,737.80 | Professional | None | $758.58 | $1,174.90 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $131.83 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,047.13 Typical High $1,513.56 | Professional | TC · Technical part | $676.08 | $1,047.13 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,148.15 Typical High $2,398.83 | Professional | None (both parts) | $794.33 | $1,148.15 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $151.36 Typical High $316.23 | Professional | 26 · Professional part | $100.00 | $151.36 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,023.29 Typical High $2,041.74 | Professional | TC · Technical part | $691.83 | $1,023.29 | $2,041.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,698.24 | Professional | None (both parts) | $912.01 | $912.01 | $1,698.24 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $109.65 | $109.65 | $190.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,513.56 | Professional | TC · Technical part | $794.33 | $794.33 | $1,513.56 |
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 $457.09 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $457.09 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $181.97 | $190.55 | $190.55 |
Where Maryland sits
The same service costs 2.9 times more in Alaska than in Texas. 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· 36th of 51
$1,047
AK $2,138TX $741
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.