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 $549.54 Median $549.54 Typical High $1,318.26 | Facility | None | $549.54 | $549.54 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $549.54 Typical High $660.69 | Professional | None (both parts) | $501.19 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $512.86 Typical High $616.60 | Professional | TC · Technical part | $467.74 | $512.86 | $616.60 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $257.04 Median $707.95 Typical High $776.25 | Professional | None (both parts) | $257.04 | $707.95 | $776.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $117.49 | $128.82 | $128.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $630.96 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $630.96 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $263.03 | $346.74 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $169.82 Typical High $354.81 | Professional | 26 · Professional part | $125.89 | $169.82 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $131.83 | $181.97 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $562.34 | Professional | None | $239.88 | $281.84 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $724.44 Typical High $1,621.81 | Professional | None (both parts) | $316.23 | $724.44 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $288.40 | Professional | 26 · Professional part | $109.65 | $158.49 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $588.84 Typical High $1,348.96 | Professional | TC · Technical part | $154.88 | $588.84 | $1,348.96 |
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 $251.19 Median $275.42 Typical High $309.03 | Professional | 52 · Reduced service | $251.19 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $109.65 Typical High $123.03 | Professional | 53 · Discontinued | $100.00 | $109.65 | $123.03 |
Where Washington, DC sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 20th of 51
$550
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.