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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $117.49 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $144.54 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.91 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $22.91 | $123.03 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $102.33 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $141.25 Typical High $398.11 | Professional | None (both parts) | $46.77 | $141.25 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $30.20 Typical High $70.79 | Professional | 26 · Professional part | $14.13 | $30.20 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $97.72 Typical High $316.23 | Professional | TC · Technical part | $32.36 | $97.72 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $338.84 | Professional | None | $144.54 | $151.36 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $41.69 | $186.21 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $61.66 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $162.18 Typical High $354.81 | Professional | TC · Technical part | $53.70 | $162.18 | $354.81 |
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 $60.26 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $60.26 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $23.99 | $38.02 | $38.02 |
Where Washington, DC sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 38th of 51
$135
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.