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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $288.40 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $117.49 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $173.78 | $186.21 | $186.21 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $302.00 | $323.59 | $338.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $158.49 | $177.83 | $177.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $144.54 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $302.00 | $338.84 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $128.82 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $213.80 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $724.44 | Professional | None | $316.23 | $354.81 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $134.90 Typical High $288.40 | Professional | 26 · Professional part | $120.23 | $134.90 | $288.40 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $218.78 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $776.25 | Professional | None (both parts) | $218.78 | $251.19 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $295.12 | Professional | 26 · Professional part | $83.18 | $97.72 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $154.88 | $478.63 |
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 $144.54 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $144.54 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $58.88 | $61.66 | $61.66 |
Where Washington, DC sits
The same service costs 9.8 times more in Alaska than in New York. 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· 27th of 51
$309
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.