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 $26.92 Median $26.92 Typical High $69.18 | Facility | None | $26.92 | $26.92 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $38.02 | Professional | None (both parts) | $25.70 | $26.92 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $10.23 | Professional | 26 · Professional part | $7.41 | $7.59 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.50 Typical High $28.84 | Professional | TC · Technical part | $17.78 | $19.50 | $28.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $34.67 | Professional | None (both parts) | $27.54 | $30.90 | $34.67 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $7.59 | $8.51 | $8.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $19.95 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $75.86 | Professional | None (both parts) | $26.92 | $30.20 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $8.32 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $53.70 | Professional | TC · Technical part | $18.62 | $21.88 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $66.07 | Professional | None | $28.84 | $32.36 | $66.07 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.71 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $8.71 | $17.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $23.99 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $75.86 | Professional | None (both parts) | $27.54 | $34.67 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $20.89 | Professional | 26 · Professional part | $6.46 | $7.59 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $20.89 | $26.92 | $54.95 |
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 $12.59 Median $13.49 Typical High $14.13 | Professional | 52 · Reduced service | $12.59 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $5.01 | $5.37 | $5.62 |
Where Washington, DC sits
The same service costs 2.5 times more in Alaska than in Texas. 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
$30.20
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.