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 $128.82 Median $316.23 Typical High $398.11 | Facility | None | $128.82 | $316.23 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $316.23 | Professional | None (both parts) | $120.23 | $128.82 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $20.89 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $100.00 | $109.65 | $263.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $31.62 | $151.36 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $23.44 | Professional | 26 · Professional part | $21.38 | $22.39 | $23.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $147.91 | Professional | TC · Technical part | $123.03 | $134.90 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,548.82 | Facility | None | $562.34 | $1,000.00 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $436.52 | Professional | None (both parts) | $151.36 | $181.97 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $64.57 | Professional | 26 · Professional part | $20.89 | $26.30 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $380.19 | Professional | TC · Technical part | $128.82 | $158.49 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $346.74 | Professional | None | $138.04 | $162.18 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $436.52 | Professional | None (both parts) | $128.82 | $190.55 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $64.57 | Professional | 26 · Professional part | $16.60 | $29.51 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $169.82 | $371.54 |
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 $60.26 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $26.30 | $27.54 |
Where Washington, DC sits
The same service costs 3.7 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· 31st of 51
$162
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.