How much rates vary
Facilitymedian $646 · 10th to 90th $646 to $708Professionalmedian $513 · 10th to 90th $398 to $724
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 $645.65 Median $645.65 Typical High $707.95 | Facility | None | $645.65 | $645.65 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $512.86 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $117.49 | Professional | 26 · Professional part | $104.71 | $109.65 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $416.87 Typical High $446.68 | Professional | TC · Technical part | $407.38 | $416.87 | $446.68 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $398.11 Median $489.78 Typical High $549.54 | Professional | None (both parts) | $398.11 | $489.78 | $549.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $97.72 | $107.15 | $107.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $549.54 Typical High $1,122.02 | Professional | None (both parts) | $478.63 | $549.54 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $123.03 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $426.58 Typical High $891.25 | Professional | TC · Technical part | $380.19 | $426.58 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $1,023.29 | Professional | None | $446.68 | $691.83 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $128.82 | $194.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $549.54 Typical High $812.83 | Professional | TC · Technical part | $363.08 | $549.54 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $616.60 Typical High $1,380.38 | Professional | None (both parts) | $416.87 | $616.60 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $302.00 | Professional | 26 · Professional part | $93.33 | $141.25 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $1,071.52 | Professional | TC · Technical part | $316.23 | $467.74 | $1,071.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $1,000.00 | Professional | None (both parts) | $407.38 | $407.38 | $1,000.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $83.18 | $186.21 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $812.83 | Professional | TC · Technical part | $323.59 | $323.59 | $812.83 |
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 $257.04 Median $263.03 Typical High $275.42 | Professional | 52 · Reduced service | $257.04 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $109.65 | Professional | 53 · Discontinued | $102.33 | $104.71 | $109.65 |
Where Maryland sits
The same service costs 3.1 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· 43rd of 51
$513
AK $1,259TX $407
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.