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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $26.92 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $10.96 | $11.22 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $15.85 | $17.38 | $17.38 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $11.75 Median $19.95 Typical High $35.48 | Professional | None (both parts) | $11.75 | $19.95 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $22.39 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $117.49 | Professional | None (both parts) | $33.11 | $38.02 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $43.65 | Professional | 26 · Professional part | $12.59 | $14.13 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $74.13 | Professional | TC · Technical part | $20.42 | $23.99 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $74.13 | Professional | None | $31.62 | $38.02 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $28.84 | $47.86 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.78 Typical High $28.84 | Professional | 26 · Professional part | $10.72 | $17.78 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $17.38 | $31.62 | $48.98 |
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 $13.49 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $13.49 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.37 | $5.75 | $5.75 |
Where Washington, DC sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 50th of 51
$28.84
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.