How much rates vary
Facilitymedian $155 · 10th to 90th $123 to $178Professionalmedian $120 · 10th to 90th $60 to $191
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 $123.03 Median $154.88 Typical High $177.83 | Facility | None | $123.03 | $154.88 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $123.03 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $72.44 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $53.70 | $57.54 | $74.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $60.26 | $117.49 | $131.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $64.57 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $53.70 | $53.70 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $117.49 | $147.91 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $81.28 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $64.57 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $239.88 | Professional | None | $104.71 | $162.18 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $89.13 | $131.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $72.44 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $363.08 | Professional | None (both parts) | $120.23 | $173.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $204.17 | Professional | 26 · Professional part | $63.10 | $95.50 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $158.49 | Professional | TC · Technical part | $52.48 | $79.43 | $158.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $120.23 | $120.23 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $69.18 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $51.29 | $104.71 |
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 $61.66 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $26.30 | $26.30 |
Where Maryland sits
The same service costs 4.0 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· 48th of 51
$120
AK $339TX $85.11
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.