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 $23.99 Median $60.26 Typical High $93.33 | Facility | None | $23.99 | $60.26 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $23.99 Typical High $56.23 | Professional | None (both parts) | $22.91 | $23.99 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $2.82 Typical High $5.25 | Professional | 26 · Professional part | $2.69 | $2.82 | $5.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.89 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $20.89 | $40.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.70 Typical High $165.96 | Professional | None (both parts) | $23.44 | $25.70 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.16 Typical High $5.50 | Professional | 26 · Professional part | $2.82 | $3.16 | $5.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $20.42 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $37.15 Typical High $147.91 | Professional | None (both parts) | $24.55 | $37.15 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $4.37 Typical High $10.00 | Professional | 26 · Professional part | $3.09 | $4.37 | $10.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $32.36 Typical High $117.49 | Professional | TC · Technical part | $21.38 | $32.36 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $56.23 | Professional | None | $23.44 | $27.54 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $21.88 | $38.02 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.98 Typical High $6.92 | Professional | 26 · Professional part | $2.82 | $3.98 | $6.92 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.88 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $33.88 | $52.48 |
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 $10.96 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $10.96 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.79 Typical High $5.62 | Professional | 53 · Discontinued | $4.37 | $4.79 | $5.62 |
Where Washington, DC sits
The same service costs 2.9 times more in Kansas 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· 46th 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.