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 $25.12 Median $25.12 Typical High $173.78 | Facility | None | $25.12 | $25.12 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.12 Typical High $47.86 | Professional | None (both parts) | $23.44 | $25.12 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.61 Typical High $11.22 | Professional | 26 · Professional part | $6.46 | $6.61 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $30.20 | Professional | TC · Technical part | $16.98 | $18.62 | $30.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $6.76 Median $19.50 Typical High $37.15 | Professional | None (both parts) | $6.76 | $19.50 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $26.92 | Professional | TC · Technical part | $20.42 | $20.42 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $81.28 | Professional | None (both parts) | $26.92 | $39.81 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $19.50 | Professional | 26 · Professional part | $7.08 | $9.77 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $67.61 | Professional | TC · Technical part | $19.50 | $28.18 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $58.88 | Professional | None | $25.12 | $29.51 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $36.31 Typical High $61.66 | Professional | None (both parts) | $23.44 | $36.31 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $6.03 | $8.91 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $28.84 | $45.71 |
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 $11.75 Median $12.59 Typical High $14.79 | Professional | 52 · Reduced service | $11.75 | $12.59 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.01 Typical High $5.89 | Professional | 53 · Discontinued | $4.68 | $5.01 | $5.89 |
Where Washington, DC sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$26.92
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.