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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $54.95 | Professional | None (both parts) | $44.67 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.47 Typical High $4.07 | Professional | 26 · Professional part | $3.39 | $3.47 | $4.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $45.71 | $51.29 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $4.07 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $4.07 | $53.70 | $64.57 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $4.90 Typical High $7.24 | Professional | 26 · Professional part | $3.55 | $4.90 | $7.24 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | TC · Technical part | $58.88 | $58.88 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $112.20 | Professional | None (both parts) | $46.77 | $53.70 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $3.80 Typical High $7.76 | Professional | 26 · Professional part | $3.47 | $3.80 | $7.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $50.12 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $117.49 | Professional | None | $52.48 | $58.88 | $117.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.80 Typical High $8.13 | Professional | 26 · Professional part | $3.39 | $3.80 | $8.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $48.98 | $54.95 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $138.04 | Professional | None (both parts) | $41.69 | $50.12 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.55 Typical High $9.55 | Professional | 26 · Professional part | $2.82 | $3.55 | $9.55 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $125.89 | Professional | TC · Technical part | $38.02 | $46.77 | $125.89 |
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 $22.39 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $22.39 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $8.91 | $9.77 | $9.77 |
Where Washington, DC sits
The same service costs 3.3 times more in North Dakota 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· 34th of 51
$53.70
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.