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 $389.05 Median $933.25 Typical High $1,174.90 | Facility | None | $389.05 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $389.05 Typical High $977.24 | Professional | None (both parts) | $363.08 | $389.05 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $52.48 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $851.14 | Professional | TC · Technical part | $302.00 | $338.84 | $851.14 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $58.88 | $380.19 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $53.70 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $457.09 Typical High $1,202.26 | Professional | None (both parts) | $234.42 | $457.09 | $1,202.26 |
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 $173.78 Median $389.05 Typical High $1,047.13 | Professional | TC · Technical part | $173.78 | $389.05 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $954.99 | Professional | None | $457.09 | $537.03 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $630.96 Typical High $1,230.27 | Professional | None (both parts) | $204.17 | $630.96 | $1,230.27 |
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 $158.49 Median $616.60 Typical High $1,071.52 | Professional | TC · Technical part | $158.49 | $616.60 | $1,071.52 |
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 $181.97 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $181.97 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $72.44 | $77.62 | $77.62 |
Where Washington, DC sits
The same service costs 3.0 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· 32nd of 51
$389
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.