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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $48.98 | $52.48 | $52.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $60.26 | $194.98 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $138.04 | $154.88 | $154.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $53.70 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $676.08 | Professional | None (both parts) | $204.17 | $218.78 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $158.49 Typical High $489.78 | Professional | 26 · Professional part | $144.54 | $158.49 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $190.55 | Professional | TC · Technical part | $54.95 | $61.66 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $426.58 | Professional | None | $181.97 | $208.93 | $426.58 |
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 $181.97 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $181.97 | $323.59 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $131.83 | $218.78 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $51.29 | $102.33 | $141.25 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Where Washington, DC sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 44th of 51
$195
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.