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 $112.20 Median $112.20 Typical High $295.12 | Facility | None | $112.20 | $112.20 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $104.71 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $70.79 | Professional | TC · Technical part | $57.54 | $64.57 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $47.86 | $112.20 | $123.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | TC · Technical part | $63.10 | $63.10 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $104.71 | $144.54 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $64.57 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $190.55 | Professional | TC · Technical part | $48.98 | $70.79 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $263.03 | Professional | None | $128.82 | $151.36 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $72.44 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $39.81 | $95.50 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $32.36 | $138.04 | $199.53 |
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 $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Where Washington, DC sits
The same service costs 3.9 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· 38th of 51
$112
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.