How much rates vary
Professionalmedian $631 · 10th to 90th $214 to $813
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 $630.96 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $630.96 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $208.93 Typical High $223.87 | Professional | 26 · Professional part | $199.53 | $208.93 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $467.74 | Professional | TC · Technical part | $426.58 | $426.58 | $467.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $213.80 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $213.80 | $562.34 | $794.33 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $588.84 Typical High $707.95 | Professional | TC · Technical part | $112.20 | $588.84 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $676.08 Typical High $1,348.96 | Professional | None (both parts) | $575.44 | $676.08 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $223.87 Typical High $446.68 | Professional | 26 · Professional part | $190.55 | $223.87 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $478.63 Typical High $954.99 | Professional | TC · Technical part | $380.19 | $478.63 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $891.25 Typical High $1,230.27 | Professional | None | $575.44 | $891.25 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $245.47 Typical High $380.19 | Professional | 26 · Professional part | $162.18 | $245.47 | $380.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $630.96 Typical High $870.96 | Professional | TC · Technical part | $416.87 | $630.96 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $588.84 Typical High $1,548.82 | Professional | None (both parts) | $323.59 | $588.84 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $257.04 Typical High $575.44 | Professional | 26 · Professional part | $169.82 | $257.04 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $371.54 Typical High $933.25 | Professional | TC · Technical part | $131.83 | $371.54 | $933.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $1,288.25 | Professional | None (both parts) | $467.74 | $467.74 | $1,288.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $363.08 | Professional | 26 · Professional part | $141.25 | $141.25 | $363.08 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $912.01 | Professional | TC · Technical part | $323.59 | $323.59 | $912.01 |
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 $316.23 Median $316.23 Typical High $338.84 | Professional | 52 · Reduced service | $316.23 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | 53 · Discontinued | $125.89 | $125.89 | $134.90 |
Where Maryland sits
The same service costs 3.2 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· 35th of 51
$631
AK $1,445KY $447
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.