How much rates vary
Facilitymedian $129 · 10th to 90th $102 to $148Professionalmedian $102 · 10th to 90th $54 to $178
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $102.33 Median $128.82 Typical High $147.91 | Facility | None | $102.33 | $128.82 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $102.33 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $58.88 | $60.26 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $44.67 | $47.86 | $63.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $53.70 | $97.72 | $109.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 26 · Professional part | $60.26 | $60.26 | $63.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $44.67 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $97.72 | $123.03 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $67.61 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $112.20 | Professional | TC · Technical part | $41.69 | $53.70 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $199.53 | Professional | None | $87.10 | $134.90 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $74.13 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $60.26 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $100.00 | $144.54 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $169.82 | Professional | 26 · Professional part | $53.70 | $79.43 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $43.65 | $67.61 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $100.00 | $100.00 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $57.54 | $107.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $42.66 | $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 $51.29 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $21.88 | $21.88 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 47th of 51
$102
AK $275UT $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.