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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $66.07 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $33.11 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $41.69 | Professional | TC · Technical part | $28.84 | $36.31 | $41.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $69.18 Typical High $77.62 | Professional | None (both parts) | $52.48 | $69.18 | $77.62 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $33.88 | $37.15 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $35.48 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $257.04 | Professional | None (both parts) | $70.79 | $83.18 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $123.03 | Professional | 26 · Professional part | $37.15 | $39.81 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $131.83 | Professional | TC · Technical part | $32.36 | $39.81 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $162.18 | Professional | None | $67.61 | $79.43 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $54.95 | $91.20 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $52.48 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $87.10 | Professional | TC · Technical part | $22.39 | $41.69 | $87.10 |
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 $32.36 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $32.36 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.18 | $13.80 | $13.80 |
Where Washington, DC sits
The same service costs 3.3 times more in Alaska 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· 31st of 51
$72.44
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.