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 $436.52 Median $436.52 Typical High $1,148.15 | Facility | None | $436.52 | $436.52 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $1,096.48 | Professional | None (both parts) | $407.38 | $436.52 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $79.43 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $354.81 Typical High $891.25 | Professional | TC · Technical part | $323.59 | $354.81 | $891.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $338.84 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $338.84 | $457.09 | $501.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $85.11 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | TC · Technical part | $371.54 | $371.54 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $512.86 Typical High $1,380.38 | Professional | None (both parts) | $323.59 | $512.86 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $245.47 | Professional | 26 · Professional part | $75.86 | $107.15 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $416.87 Typical High $1,122.02 | Professional | TC · Technical part | $218.78 | $416.87 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,047.13 | Professional | None | $524.81 | $616.60 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $707.95 Typical High $1,380.38 | Professional | None (both parts) | $281.84 | $707.95 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $69.18 | $162.18 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $630.96 Typical High $1,148.15 | Professional | TC · Technical part | $199.53 | $630.96 | $1,148.15 |
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 $204.17 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $81.28 | $87.10 | $87.10 |
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· 29th of 51
$457
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.