How much rates vary
Professionalmedian $331 · 10th to 90th $37 to $468
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 $346.74 Median $363.08 Typical High $371.54 | Professional | None (both parts) | $346.74 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $40.74 | $41.69 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $316.23 Typical High $331.13 | Professional | TC · Technical part | $302.00 | $316.23 | $331.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $37.15 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $37.15 | $331.13 | $363.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | TC · Technical part | $288.40 | $288.40 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $323.59 | $363.08 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $46.77 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $281.84 | $316.23 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $676.08 | Professional | None | $302.00 | $467.74 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $50.12 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $602.56 | Professional | TC · Technical part | $269.15 | $416.87 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $269.15 | $398.11 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $53.70 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $338.84 | $812.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $275.42 | $275.42 | $676.08 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $32.36 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $602.56 | Professional | TC · Technical part | $245.47 | $245.47 | $602.56 |
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 $173.78 Median $173.78 Typical High $186.21 | Professional | 52 · Reduced service | $173.78 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $69.18 | $70.79 | $74.13 |
Where Maryland sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$331
AK $813NM $275
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.