How much rates vary
Facilitymedian $407 · 10th to 90th $407 to $490Professionalmedian $347 · 10th to 90th $54 to $468
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 $407.38 Median $407.38 Typical High $489.78 | Facility | None | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $380.19 | Professional | None (both parts) | $323.59 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $52.48 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $323.59 | Professional | TC · Technical part | $275.42 | $302.00 | $323.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $53.70 | $354.81 | $398.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | TC · Technical part | $302.00 | $302.00 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $707.95 | Professional | None (both parts) | $281.84 | $331.13 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $56.23 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $281.84 Typical High $602.56 | Professional | TC · Technical part | $251.19 | $281.84 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $645.65 | Professional | None | $288.40 | $446.68 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $64.57 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $251.19 | $380.19 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $870.96 | Professional | None (both parts) | $186.21 | $346.74 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $43.65 | $64.57 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $295.12 Typical High $724.44 | Professional | TC · Technical part | $154.88 | $295.12 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $263.03 | $263.03 | $645.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $40.74 | $93.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $218.78 | $549.54 |
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 $162.18 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $162.18 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $69.18 | $70.79 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 38th of 51
$347
AK $776NM $240
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.