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 $38.90 Median $38.90 Typical High $102.33 | Facility | None | $38.90 | $38.90 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $64.57 | Professional | None (both parts) | $37.15 | $38.90 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $9.33 | $9.33 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $27.54 | $29.51 | $48.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $10.72 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $10.72 | $39.81 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $9.55 | $9.55 | $12.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | TC · Technical part | $30.20 | $30.20 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $42.66 Typical High $117.49 | Professional | None (both parts) | $38.90 | $42.66 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $24.55 | Professional | 26 · Professional part | $9.77 | $10.23 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $81.28 | Professional | TC · Technical part | $28.18 | $32.36 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $95.50 | Professional | None | $42.66 | $47.86 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $22.91 | Professional | 26 · Professional part | $9.55 | $10.72 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $37.15 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $117.49 | Professional | None (both parts) | $46.77 | $57.54 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $11.75 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $45.71 | $91.20 |
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 $18.20 Median $19.50 Typical High $21.38 | Professional | 52 · Reduced service | $18.20 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.76 Typical High $8.51 | Professional | 53 · Discontinued | $7.24 | $7.76 | $8.51 |
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· 49th of 51
$39.81
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.