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 $436.52 Median $5,011.87 Typical High $10,232.93 | Facility | None | $436.52 | $5,011.87 | $10,232.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | None (both parts) | $436.52 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $398.11 | Professional | 26 · Professional part | $162.18 | $162.18 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $263.03 | $269.15 | $269.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $891.25 Typical High $1,202.26 | Professional | None (both parts) | $173.78 | $891.25 | $1,202.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 26 · Professional part | $190.55 | $190.55 | $218.78 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,000.00 Typical High $1,071.52 | Professional | TC · Technical part | $338.84 | $1,000.00 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $512.86 Typical High $1,584.89 | Professional | None (both parts) | $478.63 | $512.86 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $194.98 Typical High $602.56 | Professional | 26 · Professional part | $181.97 | $194.98 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $316.23 Typical High $977.24 | Professional | TC · Technical part | $288.40 | $316.23 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $977.24 | Professional | None | $407.38 | $489.78 | $977.24 |
United Setting Facility Modifier None Typical Low $457.09 Median $2,238.72 Typical High $28,840.32 | Facility | None | $457.09 | $2,238.72 | $28,840.32 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $2,344.23 | Professional | None (both parts) | $288.40 | $524.81 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $257.04 Typical High $398.11 | Professional | 26 · Professional part | $151.36 | $257.04 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $263.03 Typical High $1,949.84 | Professional | TC · Technical part | $120.23 | $263.03 | $1,949.84 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $85.11 | $87.10 | $87.10 |
Where Washington, DC sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 4th of 51
$891
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.