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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $45.71 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $7.76 | $10.72 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $60.26 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.59 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $7.59 | $47.86 | $56.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $67.61 | Professional | None (both parts) | $43.65 | $43.65 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $6.92 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $36.31 | $36.31 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $128.82 | Professional | None | $61.66 | $61.66 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $151.36 | Professional | None (both parts) | $33.11 | $45.71 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $21.38 | Professional | 26 · Professional part | $6.46 | $7.24 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.02 Typical High $128.82 | Professional | TC · Technical part | $25.70 | $38.02 | $128.82 |
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 $22.91 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $22.91 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $9.12 | $14.13 | $14.13 |
Where Washington, DC sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 31st of 51
$50.12
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.