How much rates vary
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 $100.00 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $100.00 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $51.29 Typical High $52.48 | Professional | 52 · Reduced service | $50.12 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $20.89 | Professional | 53 · Discontinued | $19.95 | $20.42 | $20.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $91.20 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $89.13 | $107.15 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $93.33 Typical High $162.18 | Professional | None | $60.26 | $93.33 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $81.28 | $120.23 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $97.72 | $131.83 | $134.90 |
4 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 TC · Technical part Typical Low $93.33 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $104.71 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $128.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $89.13 | $114.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 49th of 51
$102
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.