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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $234.42 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $199.53 | $218.78 | $269.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $36.31 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $36.31 | $251.19 | $281.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $245.47 | Professional | TC · Technical part | $218.78 | $239.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $2,754.23 | Facility | None | $977.24 | $1,949.84 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $251.19 | $309.03 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $45.71 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $263.03 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $588.84 | Professional | None | $245.47 | $288.40 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $776.25 | Professional | None (both parts) | $223.87 | $323.59 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $30.90 | $46.77 | $104.71 |
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 $117.49 Median $125.89 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $51.29 | $56.23 |
Where Washington, DC sits
The same service costs 3.1 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
$263
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.