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 $549.54 Median $549.54 Typical High $1,548.82 | Facility | None | $549.54 | $549.54 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $549.54 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $478.63 | $478.63 | $602.56 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $588.84 | Professional | None (both parts) | $446.68 | $524.81 | $588.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $91.20 | Professional | 26 · Professional part | $81.28 | $89.13 | $91.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $501.19 Typical High $537.03 | Professional | TC · Technical part | $489.78 | $501.19 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $794.33 Typical High $1,621.81 | Professional | None (both parts) | $467.74 | $794.33 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $72.44 | $131.83 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $616.60 Typical High $1,318.26 | Professional | TC · Technical part | $398.11 | $616.60 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,412.54 | Professional | None | $562.34 | $660.69 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,122.02 Typical High $1,621.81 | Professional | None (both parts) | $524.81 | $1,122.02 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $162.18 Typical High $234.42 | Professional | 26 · Professional part | $79.43 | $162.18 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,000.00 Typical High $1,380.38 | Professional | TC · Technical part | $457.09 | $1,000.00 | $1,380.38 |
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 $275.42 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | 53 · Discontinued | $109.65 | $109.65 | $131.83 |
Where Washington, DC sits
The same service costs 3.3 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· 44th of 51
$550
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.