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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $147.91 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $22.39 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $154.88 | Professional | TC · Technical part | $125.89 | $138.04 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $23.44 | $169.82 | $204.17 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $165.96 | Professional | TC · Technical part | $147.91 | $162.18 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,659.59 Typical High $2,344.23 | Facility | None | $630.96 | $1,659.59 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $169.82 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $28.84 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $186.21 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $380.19 | Professional | None | $162.18 | $190.55 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $478.63 | Professional | None (both parts) | $141.25 | $208.93 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $29.51 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $29.51 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $186.21 Typical High $407.38 | Professional | TC · Technical part | $120.23 | $186.21 | $407.38 |
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 $74.13 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $32.36 | $34.67 |
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· 42nd of 51
$170
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.