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 $354.81 Median $354.81 Typical High $912.01 | Facility | None | $354.81 | $354.81 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $831.76 | Professional | None (both parts) | $323.59 | $354.81 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $52.48 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $691.83 | Professional | TC · Technical part | $275.42 | $302.00 | $691.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $53.70 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $53.70 | $338.84 | $398.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | TC · Technical part | $302.00 | $302.00 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $407.38 Typical High $1,071.52 | Professional | None (both parts) | $251.19 | $407.38 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $70.79 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $912.01 | Professional | TC · Technical part | $190.55 | $338.84 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $831.76 | Professional | None | $426.58 | $489.78 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $234.42 | $616.60 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $43.65 | $107.15 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $549.54 Typical High $933.25 | Professional | TC · Technical part | $177.83 | $549.54 | $933.25 |
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 $162.18 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $162.18 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $70.79 | $70.79 |
Where Washington, DC sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 35th of 51
$355
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.