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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $123.03 | $131.83 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $23.44 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $95.50 | $109.65 | $169.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $131.83 | $162.18 | $190.55 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $33.88 | $36.31 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $1,778.28 | Facility | None | $588.84 | $1,122.02 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $162.18 | $208.93 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $36.31 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $398.11 | Professional | TC · Technical part | $131.83 | $169.82 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $380.19 | Professional | None | $169.82 | $199.53 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $138.04 | $204.17 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $32.36 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $426.58 | Professional | TC · Technical part | $117.49 | $173.78 | $426.58 |
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 $61.66 Median $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.30 | $26.92 |
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· 40th of 51
$166
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.