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 $131.83 Median $131.83 Typical High $389.05 | Facility | None | $131.83 | $131.83 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $331.13 | Professional | None (both parts) | $131.83 | $131.83 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $72.44 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $57.54 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $60.26 | $117.49 | $131.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $64.57 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | TC · Technical part | $53.70 | $53.70 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $398.11 | Professional | None (both parts) | $123.03 | $190.55 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $69.18 | $102.33 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $53.70 | $89.13 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $309.03 | Professional | None | $151.36 | $177.83 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $134.90 | $281.84 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $147.91 Typical High $229.09 | Professional | 26 · Professional part | $72.44 | $147.91 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $125.89 | $177.83 |
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 $63.10 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $26.30 | $29.51 |
Where Washington, DC sits
The same service costs 4.0 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· 44th of 51
$132
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.