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 $134.90 Median $158.49 Typical High $158.49 | Facility | None | $134.90 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $138.04 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $32.36 | $33.11 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $123.03 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $33.11 | $120.23 | $169.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $134.90 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $426.58 | Professional | None (both parts) | $147.91 | $177.83 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $46.77 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $102.33 | $138.04 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $371.54 | Professional | None | $151.36 | $177.83 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $120.23 | $190.55 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $29.51 | $43.65 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $87.10 | $151.36 | $302.00 |
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 $72.44 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $72.44 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $29.51 | $31.62 | $33.11 |
Where Washington, DC sits
The same service costs 3.0 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· 41st of 51
$158
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.