How much rates vary
Facilitymedian $525 · 10th to 90th $417 to $617Professionalmedian $468 · 10th to 90th $331 to $708
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 $416.87 Median $524.81 Typical High $616.60 | Facility | None | $416.87 | $524.81 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $416.87 | $457.09 | $562.34 |
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 $371.54 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $371.54 | $398.11 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $467.74 Median $478.63 Typical High $512.86 | Professional | None (both parts) | $467.74 | $478.63 | $512.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $53.70 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $407.38 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $436.52 Typical High $933.25 | Professional | None (both parts) | $363.08 | $436.52 | $933.25 |
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 $323.59 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $323.59 | $380.19 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $851.14 | Professional | None | $363.08 | $562.34 | $851.14 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $63.10 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $501.19 Typical High $758.58 | Professional | TC · Technical part | $323.59 | $501.19 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $177.83 | $436.52 | $1,148.15 |
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 $141.25 Median $389.05 Typical High $1,000.00 | Professional | TC · Technical part | $141.25 | $389.05 | $1,000.00 |
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 $39.81 Median $39.81 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $39.81 | $91.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $724.44 | Professional | TC · Technical part | $295.12 | $295.12 | $724.44 |
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 $208.93 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $85.11 | $91.20 |
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· 30th of 51
$468
AK $933NM $309
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.