How much rates vary
Professionalmedian $155 · 10th to 90th $78 to $214
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 $147.91 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $79.43 | Professional | 26 · Professional part | $72.44 | $75.86 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $75.86 | $83.18 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $77.62 | $154.88 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $75.86 | $85.11 | $85.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $346.74 | Professional | None (both parts) | $131.83 | $151.36 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $81.28 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $181.97 | Professional | TC · Technical part | $61.66 | $72.44 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $275.42 | Professional | None | $120.23 | $186.21 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $89.13 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $95.50 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $436.52 | Professional | None (both parts) | $100.00 | $173.78 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $63.10 | $93.33 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $89.13 Typical High $223.87 | Professional | TC · Technical part | $33.11 | $89.13 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $138.04 | $138.04 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $70.79 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $69.18 | $138.04 |
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 $74.13 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.20 | $31.62 | $31.62 |
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· 43rd of 51
$155
AK $398TX $102
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.