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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $213.80 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $43.65 | $47.86 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $53.70 | $269.15 | $338.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $218.78 | $245.47 | $245.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $47.86 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $1,000.00 | Professional | None (both parts) | $288.40 | $323.59 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $263.03 Typical High $812.83 | Professional | 26 · Professional part | $245.47 | $263.03 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $177.83 | Professional | TC · Technical part | $45.71 | $53.70 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $616.60 | Professional | None | $263.03 | $309.03 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $257.04 | $407.38 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $331.13 Typical High $676.08 | Professional | 26 · Professional part | $218.78 | $331.13 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $38.02 | $66.07 | $147.91 |
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 $128.82 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $53.70 | $53.70 |
Where Washington, DC sits
The same service costs 3.3 times more in Minnesota 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· 47th of 51
$269
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.