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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 26 · Professional part | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $52.48 | $57.54 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $69.18 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $69.18 | $120.23 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $53.70 | $60.26 | $60.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $64.57 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $416.87 | Professional | None (both parts) | $117.49 | $131.83 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $61.66 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $223.87 | Professional | TC · Technical part | $58.88 | $67.61 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $257.04 | Professional | None | $109.65 | $128.82 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $104.71 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $79.43 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $51.29 | $79.43 | $147.91 |
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 $51.29 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $51.29 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.42 | $21.38 | $21.38 |
Where Washington, DC sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 35th of 51
$123
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.