How much rates vary
Professionalmedian $22 · 10th to 90th $18 to $28
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 $18.62 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $18.62 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $8.13 | $8.51 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | TC · Technical part | $10.47 | $10.47 | $10.47 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $27.54 | Professional | None (both parts) | $22.39 | $24.55 | $27.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.91 | $8.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $14.13 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $34.67 | Professional | None | $18.20 | $21.88 | $34.67 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $8.71 | $13.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $12.88 Typical High $19.95 | Professional | TC · Technical part | $10.72 | $12.88 | $19.95 |
United Setting Professional Modifier None (both parts) Typical Low $14.45 Median $19.50 Typical High $39.81 | Professional | None (both parts) | $14.45 | $19.50 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $17.38 | Professional | 26 · Professional part | $6.31 | $8.13 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $11.48 Typical High $22.91 | Professional | TC · Technical part | $8.51 | $11.48 | $22.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $20.42 Median $27.54 Typical High $31.62 | Professional | None (both parts) | $20.42 | $27.54 | $31.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $11.48 | $12.59 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.85 Typical High $18.62 | Professional | TC · Technical part | $11.75 | $15.85 | $18.62 |
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 $9.33 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.33 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.72 | $3.80 | $3.80 |
Where Maryland sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 27th of 51
$22.39
WI $39.81NC $17.38
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.