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 $194.98 Median $457.09 Typical High $457.09 | Facility | None | $194.98 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $457.09 Typical High $1,096.48 | Professional | None (both parts) | $407.38 | $457.09 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $52.48 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $398.11 Typical High $1,000.00 | Professional | TC · Technical part | $363.08 | $398.11 | $1,000.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $269.15 Median $467.74 Typical High $512.86 | Professional | None (both parts) | $269.15 | $467.74 | $512.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $53.70 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $407.38 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $524.81 Typical High $1,412.54 | Professional | None (both parts) | $234.42 | $524.81 | $1,412.54 |
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 $165.96 Median $457.09 Typical High $1,258.93 | Professional | TC · Technical part | $165.96 | $457.09 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $1,096.48 | Professional | None | $537.03 | $616.60 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $741.31 Typical High $1,445.44 | Professional | None (both parts) | $194.98 | $741.31 | $1,445.44 |
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 $173.78 Median $741.31 Typical High $1,258.93 | Professional | TC · Technical part | $173.78 | $741.31 | $1,258.93 |
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 $208.93 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $91.20 | $91.20 |
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· 28th of 51
$468
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.