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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $123.03 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 26 · Professional part | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $109.65 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $112.20 | $154.88 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,659.59 | Facility | None | $562.34 | $1,023.29 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $147.91 | $177.83 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $66.07 | Professional | 26 · Professional part | $22.39 | $29.51 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $331.13 | Professional | TC · Technical part | $125.89 | $147.91 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $346.74 | Professional | None | $147.91 | $173.78 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $128.82 | $186.21 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $30.20 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $380.19 | Professional | TC · Technical part | $107.15 | $162.18 | $380.19 |
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 $61.66 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $26.30 | $28.84 |
Where Washington, DC sits
The same service costs 3.8 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
$158
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.