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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $125.89 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $51.29 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $85.11 | $128.82 | $165.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $36.31 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $36.31 | $107.15 | $162.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $120.23 | $120.23 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $489.78 | Professional | None (both parts) | $102.33 | $144.54 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $123.03 | Professional | 26 · Professional part | $33.11 | $48.98 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $363.08 | Professional | TC · Technical part | $58.88 | $100.00 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $398.11 | Professional | None | $173.78 | $186.21 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $501.19 | Professional | None (both parts) | $100.00 | $151.36 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $34.67 | $61.66 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $380.19 | Professional | TC · Technical part | $58.88 | $91.20 | $380.19 |
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 $58.88 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $58.88 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $23.99 | $35.48 | $35.48 |
Where Washington, DC sits
The same service costs 3.2 times more in Alaska than in New York. 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
$145
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.