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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $67.61 | Professional | None (both parts) | $60.26 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 26 · Professional part | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $19.50 | $20.89 | $20.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $24.55 | $50.12 | $74.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | TC · Technical part | $22.39 | $22.39 | $23.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $93.33 Typical High $194.98 | Professional | None (both parts) | $63.10 | $93.33 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $67.61 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $64.57 | Professional | TC · Technical part | $20.89 | $26.30 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $147.91 | Professional | None | $66.07 | $77.62 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $58.88 | $120.23 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $40.74 | $83.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $18.20 | $37.15 | $64.57 |
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 $29.51 Median $31.62 Typical High $32.36 | Professional | 52 · Reduced service | $29.51 | $31.62 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $12.88 | Professional | 53 · Discontinued | $12.02 | $12.59 | $12.88 |
Where Washington, DC sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 40th of 51
$63.10
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.