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 $269.15 Median $269.15 Typical High $724.44 | Facility | None | $269.15 | $269.15 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $245.47 | $269.15 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $51.29 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $218.78 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $269.15 | $295.12 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $57.54 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $263.03 | Professional | TC · Technical part | $213.80 | $239.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,949.84 Typical High $2,691.53 | Facility | None | $954.99 | $1,949.84 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $812.83 | Professional | None (both parts) | $275.42 | $380.19 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $53.70 | $81.28 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $223.87 | $281.84 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $630.96 | Professional | None | $257.04 | $302.00 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $239.88 | $346.74 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $50.12 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $281.84 | $660.69 |
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 $123.03 Median $134.90 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $53.70 | $56.23 |
Where Washington, DC sits
The same service costs 3.3 times more in Minnesota 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· 39th of 51
$295
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.