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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $213.80 | $229.09 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $75.86 | $83.18 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $144.54 | $245.47 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $169.82 | $251.19 | $331.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $100.00 | Professional | 26 · Professional part | $83.18 | $93.33 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $141.25 | $154.88 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $812.83 | Professional | None (both parts) | $245.47 | $295.12 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $75.86 | $97.72 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $208.93 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $524.81 | Professional | None | $223.87 | $263.03 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $199.53 | $288.40 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $109.65 Typical High $199.53 | Professional | 26 · Professional part | $53.70 | $109.65 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $204.17 | $354.81 |
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 $107.15 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $45.71 | $53.70 |
Where Washington, DC sits
The same service costs 4.7 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· 42nd of 51
$251
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.