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 $79.43 Median $79.43 Typical High $208.93 | Facility | None | $79.43 | $79.43 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $74.13 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $33.88 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $26.92 | $44.67 | $81.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $85.11 | Professional | None (both parts) | $42.66 | $77.62 | $85.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $38.02 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $281.84 | Professional | None (both parts) | $72.44 | $85.11 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $40.74 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $158.49 | Professional | TC · Technical part | $34.67 | $47.86 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $181.97 | Professional | None | $75.86 | $89.13 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $239.88 | Professional | None (both parts) | $60.26 | $100.00 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $53.70 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $47.86 Typical High $134.90 | Professional | TC · Technical part | $21.88 | $47.86 | $134.90 |
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 $37.15 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $37.15 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $14.79 | $15.85 | $15.85 |
Where Washington, DC sits
The same service costs 3.4 times more in Alaska than in New York. 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· 34th of 51
$79.43
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.