How much rates vary
Professionalmedian $129 · 10th to 90th $74 to $174
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 $128.82 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $60.26 | Professional | 26 · Professional part | $54.95 | $57.54 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $74.13 | $77.62 | $81.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $74.13 | $125.89 | $138.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $57.54 | $64.57 | $64.57 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | TC · Technical part | $67.61 | $67.61 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $302.00 | Professional | None (both parts) | $107.15 | $123.03 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $61.66 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $63.10 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $218.78 | Professional | None | $95.50 | $147.91 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $67.61 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $51.29 | $79.43 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $144.54 Typical High $371.54 | Professional | None (both parts) | $81.28 | $144.54 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $47.86 | $70.79 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $79.43 Typical High $208.93 | Professional | TC · Technical part | $30.90 | $79.43 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $107.15 | $107.15 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $51.29 | $97.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $56.23 | $114.82 |
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 $64.57 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $27.54 | $27.54 |
Where Maryland sits
The same service costs 4.6 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· 42nd of 51
$129
AK $331TX $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.