How much rates vary
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 $501.19 Median $1,862.09 Typical High $4,073.80 | Facility | None | $501.19 | $1,862.09 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $446.68 | $501.19 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $100.00 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $100.00 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $407.38 Typical High $758.58 | Professional | TC · Technical part | $338.84 | $407.38 | $758.58 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $446.68 | Professional | None (both parts) | $331.13 | $363.08 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $93.33 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $1,479.11 | Professional | None (both parts) | $309.03 | $426.58 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $331.13 | Professional | 26 · Professional part | $87.10 | $117.49 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $1,174.90 | Professional | TC · Technical part | $239.88 | $331.13 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $1,047.13 | Professional | None | $436.52 | $501.19 | $1,047.13 |
United Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $5,888.44 | Facility | None | $165.96 | $549.54 | $5,888.44 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $660.69 Typical High $1,258.93 | Professional | None (both parts) | $229.09 | $660.69 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $173.78 Typical High $245.47 | Professional | 26 · Professional part | $75.86 | $173.78 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $512.86 Typical High $1,000.00 | Professional | TC · Technical part | $154.88 | $512.86 | $1,000.00 |
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 $223.87 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $223.87 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $89.13 | $100.00 | $100.00 |
Where Washington, DC sits
The same service costs 6.5 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.
Washington, DC· 30th of 51
$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.