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 $223.87 Median $223.87 Typical High $245.47 | Facility | None | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $208.93 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $56.23 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $151.36 | $165.96 | $199.53 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $57.54 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $57.54 | $218.78 | $257.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $63.10 | $63.10 | $75.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $177.83 | $177.83 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $229.09 | $281.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $81.28 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $204.17 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $512.86 | Professional | None | $213.80 | $257.04 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $190.55 | $275.42 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $131.83 | $208.93 | $407.38 |
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 $102.33 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $44.67 | $48.98 |
Where Washington, DC sits
The same service costs 3.5 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· 44th of 51
$234
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.