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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $204.17 | $245.47 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $34.67 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $208.93 | $407.38 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $199.53 | $263.03 | $323.59 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $38.90 | Professional | 26 · Professional part | $30.20 | $38.02 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $251.19 | Professional | TC · Technical part | $208.93 | $229.09 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,949.84 Typical High $2,630.27 | Facility | None | $933.25 | $1,949.84 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $741.31 | Professional | None (both parts) | $245.47 | $309.03 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $41.69 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $630.96 | Professional | TC · Technical part | $204.17 | $263.03 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $575.44 | Professional | None | $234.42 | $275.42 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $741.31 | Professional | None (both parts) | $218.78 | $316.23 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $23.99 | $46.77 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $630.96 | Professional | TC · Technical part | $186.21 | $281.84 | $630.96 |
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 $107.15 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $42.66 | $48.98 | $48.98 |
Where Washington, DC sits
The same service costs 3.2 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· 34th 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.