How much rates vary
Facilitymedian $501 · 10th to 90th $501 to $603Professionalmedian $437 · 10th to 90th $331 to $617
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 $501.19 Median $501.19 Typical High $602.56 | Facility | None | $501.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $524.81 | Professional | None (both parts) | $407.38 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $75.86 | $79.43 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $354.81 Typical High $426.58 | Professional | TC · Technical part | $323.59 | $354.81 | $426.58 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $416.87 | $457.09 | $501.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $89.13 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $426.58 | Professional | TC · Technical part | $371.54 | $371.54 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $363.08 | $426.58 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $89.13 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $302.00 | $346.74 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $794.33 | Professional | None | $363.08 | $562.34 | $794.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $97.72 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $645.65 | Professional | TC · Technical part | $302.00 | $457.09 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $1,071.52 | Professional | None (both parts) | $239.88 | $426.58 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $218.78 | Professional | 26 · Professional part | $66.07 | $100.00 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $338.84 Typical High $851.14 | Professional | TC · Technical part | $181.97 | $338.84 | $851.14 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $812.83 | Professional | None (both parts) | $331.13 | $331.13 | $812.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $60.26 | $141.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $269.15 | $676.08 |
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 $204.17 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $204.17 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $81.28 | $85.11 | $87.10 |
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· 36th of 51
$437
AK $977NM $302
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.