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 $125.89 Median $125.89 Typical High $331.13 | Facility | None | $125.89 | $125.89 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $302.00 | Professional | None (both parts) | $117.49 | $125.89 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $21.38 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $104.71 | $251.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.99 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $23.99 | $125.89 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $26.30 | Professional | 26 · Professional part | $16.22 | $21.38 | $26.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $114.82 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $891.25 Typical High $1,288.25 | Facility | None | $467.74 | $891.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $131.83 | $165.96 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $66.07 | Professional | 26 · Professional part | $17.78 | $25.12 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $107.15 | $138.04 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $295.12 | Professional | None | $120.23 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $389.05 | Professional | None (both parts) | $109.65 | $158.49 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $12.88 | $27.54 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $316.23 | Professional | TC · Technical part | $91.20 | $141.25 | $316.23 |
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 $57.54 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $25.12 | $26.30 |
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· 44th of 51
$132
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.