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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $107.15 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $54.95 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $58.88 | $120.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $66.07 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $66.07 | $128.82 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $56.23 | $60.26 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $75.86 | Professional | TC · Technical part | $60.26 | $67.61 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $707.95 Typical High $891.25 | Facility | None | $269.15 | $707.95 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $123.03 | $181.97 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $70.79 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $95.50 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $269.15 | Professional | None | $117.49 | $138.04 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $346.74 | Professional | None (both parts) | $109.65 | $169.82 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $165.96 | Professional | 26 · Professional part | $48.98 | $74.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $54.95 | $107.15 | $186.21 |
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 $53.70 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $21.38 | $22.91 | $25.12 |
Where Washington, DC sits
The same service costs 4.6 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
$129
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.