How much rates vary
Professionalmedian $1,820 · 10th to 90th $1,549 to $2,754
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 $1,659.59 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,659.59 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $309.03 Typical High $316.23 | Professional | 26 · Professional part | $295.12 | $309.03 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,479.11 Typical High $1,479.11 | Professional | TC · Technical part | $1,380.38 | $1,479.11 | $1,479.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,778.28 | $1,995.26 | $1,995.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $309.03 | $346.74 | $346.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,479.11 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,778.28 Typical High $3,981.07 | Professional | None (both parts) | $1,513.56 | $1,778.28 | $3,981.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $331.13 Typical High $676.08 | Professional | 26 · Professional part | $281.84 | $331.13 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,479.11 Typical High $3,311.31 | Professional | TC · Technical part | $1,230.27 | $1,479.11 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $3,467.37 | Professional | None | $1,479.11 | $2,290.87 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $371.54 Typical High $562.34 | Professional | 26 · Professional part | $239.88 | $371.54 | $562.34 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,949.84 Typical High $2,884.03 | Professional | TC · Technical part | $1,258.93 | $1,949.84 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,862.09 Typical High $4,897.79 | Professional | None (both parts) | $1,096.48 | $1,862.09 | $4,897.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $371.54 Typical High $851.14 | Professional | 26 · Professional part | $251.19 | $371.54 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,548.82 Typical High $4,073.80 | Professional | TC · Technical part | $851.14 | $1,548.82 | $4,073.80 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $3,311.31 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $3,311.31 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $537.03 | Professional | 26 · Professional part | $275.42 | $275.42 | $537.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $2,818.38 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $2,818.38 |
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 $831.76 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $831.76 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $331.13 | $363.08 | $363.08 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$1,820
AK $4,467TX $1,413
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.