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 $562.34 Median $4,168.69 Typical High $10,232.93 | Facility | None | $562.34 | $4,168.69 | $10,232.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $776.25 | Professional | None (both parts) | $562.34 | $562.34 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | 26 · Professional part | $288.40 | $288.40 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $275.42 | $275.42 | $346.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $302.00 Median $691.83 Typical High $1,202.26 | Professional | None (both parts) | $302.00 | $691.83 | $1,202.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $831.76 Typical High $851.14 | Professional | TC · Technical part | $776.25 | $831.76 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $676.08 Typical High $2,089.30 | Professional | None (both parts) | $630.96 | $676.08 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $338.84 Typical High $1,047.13 | Professional | 26 · Professional part | $316.23 | $338.84 | $1,047.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $323.59 Typical High $1,023.29 | Professional | TC · Technical part | $288.40 | $323.59 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,288.25 | Professional | None | $537.03 | $645.65 | $1,288.25 |
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 $436.52 Median $758.58 Typical High $2,344.23 | Professional | None (both parts) | $436.52 | $758.58 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $457.09 Typical High $707.95 | Professional | 26 · Professional part | $257.04 | $457.09 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $269.15 Typical High $1,621.81 | Professional | TC · Technical part | $147.91 | $269.15 | $1,621.81 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Where Washington, DC sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 40th of 51
$631
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.