How much rates vary
Professionalmedian $112 · 10th to 90th $48 to $145
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 $104.71 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $50.12 | Professional | 26 · Professional part | $45.71 | $46.77 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $58.88 | $64.57 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $47.86 | $112.20 | $123.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | TC · Technical part | $63.10 | $63.10 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $245.47 | Professional | None (both parts) | $95.50 | $109.65 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $51.29 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $141.25 | Professional | TC · Technical part | $51.29 | $58.88 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $204.17 | Professional | None | $89.13 | $138.04 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $56.23 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $79.43 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $117.49 Typical High $309.03 | Professional | None (both parts) | $70.79 | $117.49 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $39.81 | $58.88 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $67.61 Typical High $177.83 | Professional | TC · Technical part | $30.20 | $67.61 | $177.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $199.53 | Professional | None (both parts) | $97.72 | $97.72 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $43.65 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $54.95 | $117.49 |
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 $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Where Maryland sits
The same service costs 3.9 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· 37th of 51
$112
AK $282TX $72.44
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.