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 $38.02 Median $38.02 Typical High $100.00 | Facility | None | $38.02 | $38.02 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $35.48 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $12.88 | $13.18 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $30.20 | Professional | TC · Technical part | $22.91 | $25.12 | $30.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $28.84 | $39.81 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $13.49 | $14.79 | $14.79 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $26.30 | $26.30 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $37.15 | $42.66 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $28.84 | Professional | 26 · Professional part | $13.49 | $14.45 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $23.99 | $28.18 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $91.20 | Professional | None | $40.74 | $45.71 | $91.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.79 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $14.79 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $30.90 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $107.15 | Professional | None (both parts) | $30.20 | $37.15 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $36.31 | Professional | 26 · Professional part | $11.22 | $13.18 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $70.79 | Professional | TC · Technical part | $19.05 | $23.99 | $70.79 |
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 $17.78 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.08 | $7.59 | $7.59 |
Where Washington, DC sits
The same service costs 2.7 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· 36th 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.