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 $39.81 Median $39.81 Typical High $102.33 | Facility | None | $39.81 | $39.81 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $39.81 Typical High $42.66 | Professional | None (both parts) | $37.15 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.22 Typical High $12.59 | Professional | 26 · Professional part | $10.96 | $11.22 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $29.51 | Professional | TC · Technical part | $26.30 | $28.18 | $29.51 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $14.79 Median $52.48 Typical High $57.54 | Professional | None (both parts) | $14.79 | $52.48 | $57.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | 26 · Professional part | $13.18 | $13.18 | $15.85 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $38.90 | $38.90 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $41.69 | $48.98 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $25.12 | Professional | 26 · Professional part | $11.22 | $12.30 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $30.90 | $36.31 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $104.71 | Professional | None | $46.77 | $52.48 | $104.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $26.92 | Professional | 26 · Professional part | $11.48 | $12.88 | $26.92 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $39.81 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $123.03 | Professional | None (both parts) | $33.11 | $39.81 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $30.90 | Professional | 26 · Professional part | $9.33 | $11.48 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $91.20 | Professional | TC · Technical part | $23.99 | $28.84 | $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 $18.62 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $18.62 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.41 | $7.94 | $7.94 |
Where Washington, DC sits
The same service costs 2.9 times more in Alaska 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· 39th of 51
$42.66
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.