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 $60.26 Median $60.26 Typical High $158.49 | Facility | None | $60.26 | $60.26 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $66.07 | Professional | None (both parts) | $56.23 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $24.55 | $25.12 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $37.15 | Professional | TC · Technical part | $32.36 | $34.67 | $37.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $41.69 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $41.69 | $63.10 | $70.79 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $25.70 | $28.84 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $38.02 | $38.02 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $173.78 | Professional | None (both parts) | $58.88 | $69.18 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $27.54 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $97.72 | Professional | TC · Technical part | $34.67 | $40.74 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $147.91 | Professional | None | $67.61 | $75.86 | $147.91 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $29.51 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $45.71 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $169.82 | Professional | None (both parts) | $46.77 | $56.23 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $69.18 | Professional | 26 · Professional part | $21.88 | $25.70 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $102.33 | Professional | TC · Technical part | $25.12 | $30.20 | $102.33 |
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 $28.18 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $28.18 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.22 | $12.02 | $12.02 |
Where Washington, DC sits
The same service costs 3.6 times more in Minnesota 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· 38th of 51
$63.10
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.