How much rates vary
Professionalmedian $66 · 10th to 90th $33 to $110
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 $91.20 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $57.54 | $61.66 | $61.66 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $33.11 | $40.74 | $74.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $36.31 | $43.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $40.74 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $83.18 | $102.33 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $38.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $64.57 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $169.82 | Professional | None | $74.13 | $112.20 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $42.66 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $70.79 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $63.10 | $208.93 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $28.84 | $42.66 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $169.82 Typical High $436.52 | Professional | TC · Technical part | $34.67 | $169.82 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $61.66 | Professional | 26 · Professional part | $39.81 | $57.54 | $61.66 |
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 $45.71 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $19.50 | $19.50 |
Where Maryland sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 48th of 51
$66.07
HI $309KY $57.54
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.