How much rates vary
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 $446.68 Median $489.78 Typical High $724.44 | Facility | None | $446.68 | $489.78 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $363.08 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $50.12 | $52.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $416.87 | Professional | TC · Technical part | $309.03 | $338.84 | $416.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $58.88 | $380.19 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $53.70 | $67.61 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $338.84 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $338.84 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $316.23 | $371.54 | $776.25 |
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 $275.42 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $323.59 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $707.95 | Professional | None | $316.23 | $478.63 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $61.66 | $93.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $416.87 Typical High $602.56 | Professional | TC · Technical part | $275.42 | $416.87 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $190.55 | $380.19 | $954.99 |
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 $138.04 Median $323.59 Typical High $812.83 | Professional | TC · Technical part | $138.04 | $323.59 | $812.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $691.83 | Professional | None (both parts) | $288.40 | $288.40 | $691.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $89.13 | Professional | 26 · Professional part | $40.74 | $40.74 | $89.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $251.19 | $251.19 | $616.60 |
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 $181.97 Median $181.97 Typical High $194.98 | Professional | 52 · Reduced service | $181.97 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $77.62 | Professional | 53 · Discontinued | $72.44 | $74.13 | $77.62 |
Where Maryland sits
The same service costs 3.0 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
$380
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.