How much rates vary
Facilitymedian $123 · 10th to 90th $123 to $135Professionalmedian $95 · 10th to 90th $32 to $132
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 $123.03 Typical High $134.90 | Facility | None | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | None (both parts) | $100.00 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $36.31 | Professional | 26 · Professional part | $30.90 | $32.36 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $67.61 | $74.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $31.62 | $95.50 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $30.20 | Professional | 26 · Professional part | $28.18 | $28.18 | $30.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $213.80 | Professional | None (both parts) | $81.28 | $95.50 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $33.88 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $50.12 | $66.07 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $181.97 | Professional | None | $79.43 | $123.03 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $37.15 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $85.11 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $93.33 Typical High $245.47 | Professional | None (both parts) | $47.86 | $93.33 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $87.10 | Professional | 26 · Professional part | $26.30 | $39.81 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $58.88 Typical High $158.49 | Professional | TC · Technical part | $17.78 | $58.88 | $158.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $177.83 | Professional | None (both parts) | $66.07 | $66.07 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $21.88 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $123.03 | Professional | TC · Technical part | $44.67 | $44.67 | $123.03 |
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 $48.98 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $19.95 | $19.95 | $21.38 |
Where Maryland sits
The same service costs 3.5 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· 40th of 51
$95.50
AK $229KY $64.57
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.