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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $162.18 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $81.28 | $81.28 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $89.13 | $104.71 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $83.18 | $151.36 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $87.10 | $91.20 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $186.21 | $251.19 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $87.10 | $112.20 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $125.89 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $389.05 | Professional | None | $165.96 | $194.98 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $446.68 Typical High $977.24 | Professional | None (both parts) | $204.17 | $446.68 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $109.65 Typical High $199.53 | Professional | 26 · Professional part | $72.44 | $109.65 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $131.83 | $371.54 | $776.25 |
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 $81.28 Median $85.11 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $33.88 | $40.74 |
Where Washington, DC sits
The same service costs 3.1 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· 49th of 51
$204
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.