How much rates vary
Professionalmedian $166 · 10th to 90th $112 to $224
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 $154.88 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $25.70 | Professional | 26 · Professional part | $23.99 | $25.12 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $131.83 | $131.83 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $147.91 | $165.96 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $144.54 | $169.82 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $28.18 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $144.54 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $275.42 | Professional | None | $128.82 | $199.53 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $29.51 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $169.82 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $89.13 | $154.88 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $69.18 | Professional | 26 · Professional part | $21.38 | $31.62 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $70.79 | $123.03 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $288.40 | Professional | None (both parts) | $112.20 | $112.20 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $42.66 | Professional | 26 · Professional part | $16.60 | $16.60 | $42.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $95.50 | $245.47 |
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 $77.62 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $31.62 | $31.62 | $33.88 |
Where Maryland sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 30th of 51
$166
AK $324KY $115
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.