How much rates vary
Professionalmedian $148 · 10th to 90th $110 to $195
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 $151.36 Typical High $158.49 | Professional | None (both parts) | $147.91 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $26.30 | Professional | 26 · Professional part | $24.55 | $25.12 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | TC · Technical part | $123.03 | $123.03 | $131.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $125.89 | $147.91 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $25.12 | $25.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $114.82 | $134.90 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $27.54 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $269.15 | Professional | TC · Technical part | $95.50 | $112.20 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $251.19 | Professional | None | $102.33 | $158.49 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $28.18 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $128.82 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $87.10 | $154.88 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $69.18 | Professional | 26 · Professional part | $21.38 | $30.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $281.84 | Professional | TC · Technical part | $69.18 | $120.23 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $109.65 | $109.65 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $19.50 | $41.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $89.13 | $186.21 |
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 $72.44 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | 53 · Discontinued | $29.51 | $29.51 | $31.62 |
Where Maryland sits
The same service costs 3.2 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· 38th of 51
$148
AK $324TX $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.