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 $151.36 Median $151.36 Typical High $398.11 | Facility | None | $151.36 | $151.36 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $141.25 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $61.66 | $63.10 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $100.00 | Professional | TC · Technical part | $81.28 | $89.13 | $100.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $154.88 Typical High $173.78 | Professional | None (both parts) | $70.79 | $154.88 | $173.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $63.10 | $63.10 | $77.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | TC · Technical part | $102.33 | $102.33 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $346.74 | Professional | None (both parts) | $147.91 | $169.82 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $69.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $100.00 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $363.08 | Professional | None | $162.18 | $177.83 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $70.79 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $109.65 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $416.87 | Professional | None (both parts) | $128.82 | $151.36 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $173.78 | Professional | 26 · Professional part | $52.48 | $63.10 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $251.19 | Professional | TC · Technical part | $72.44 | $89.13 | $251.19 |
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 $70.79 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $30.20 | $30.20 |
Where Washington, DC sits
The same service costs 3.6 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· 45th of 51
$151
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.