How much rates vary
Professionalmedian $71 · 10th to 90th $31 to $98
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 $77.62 Median $83.18 Typical High $89.13 | Professional | None (both parts) | $77.62 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $34.67 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $51.29 | Professional | TC · Technical part | $44.67 | $48.98 | $51.29 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $85.11 | Professional | None (both parts) | $30.90 | $50.12 | $85.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $28.84 | $38.90 | $47.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $57.54 Typical High $70.79 | Professional | TC · Technical part | $35.48 | $57.54 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $72.44 | $83.18 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $36.31 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $107.15 | Professional | TC · Technical part | $39.81 | $47.86 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $151.36 | Professional | None | $66.07 | $100.00 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $40.74 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $38.90 | $60.26 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $67.61 | $100.00 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $45.71 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $54.95 Typical High $123.03 | Professional | TC · Technical part | $37.15 | $54.95 | $123.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $147.91 | Professional | None (both parts) | $67.61 | $67.61 | $147.91 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $29.51 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $87.10 | Professional | TC · Technical part | $38.02 | $38.02 | $87.10 |
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 $38.90 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $16.60 | $16.60 |
Where Maryland sits
The same service costs 3.0 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· 50th of 51
$70.79
AK $204TX $67.61
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.