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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $77.62 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $11.22 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $72.44 | $128.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $89.13 | $97.72 | $120.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $13.80 | Professional | 26 · Professional part | $11.75 | $12.88 | $13.80 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $75.86 | $85.11 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $831.76 Typical High $977.24 | Facility | None | $323.59 | $831.76 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $257.04 | Professional | None (both parts) | $87.10 | $112.20 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $33.88 | Professional | 26 · Professional part | $11.75 | $14.45 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $97.72 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $194.98 | Professional | None | $83.18 | $97.72 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $72.44 | $107.15 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.79 Typical High $33.88 | Professional | 26 · Professional part | $10.00 | $14.79 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $63.10 | $97.72 | $213.80 |
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 $38.90 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $38.90 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $16.60 | $18.20 |
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· 36th of 51
$97.72
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.