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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $302.00 | Professional | None (both parts) | $117.49 | $125.89 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $22.39 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $104.71 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $104.71 | $125.89 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $21.88 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $891.25 Typical High $1,318.26 | Facility | None | $467.74 | $891.25 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $131.83 | $165.96 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $21.38 | $26.92 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $316.23 | Professional | TC · Technical part | $104.71 | $134.90 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $295.12 | Professional | None | $123.03 | $144.54 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $109.65 | $158.49 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.18 Typical High $67.61 | Professional | 26 · Professional part | $16.60 | $28.18 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $302.00 | Professional | TC · Technical part | $89.13 | $141.25 | $302.00 |
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 $58.88 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $25.12 | $26.30 |
Where Washington, DC sits
The same service costs 3.3 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· 46th of 51
$132
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.