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 $239.88 Median $239.88 Typical High $691.83 | Facility | None | $239.88 | $239.88 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $602.56 | Professional | None (both parts) | $239.88 | $239.88 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $363.08 | Professional | 26 · Professional part | $144.54 | $144.54 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $239.88 | Professional | TC · Technical part | $95.50 | $95.50 | $239.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $100.00 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $100.00 | $218.78 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $128.82 | $128.82 | $190.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $91.20 | $91.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $223.87 | $354.81 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $204.17 Typical High $446.68 | Professional | 26 · Professional part | $138.04 | $204.17 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $85.11 | $138.04 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $575.44 | Professional | None | $275.42 | $316.23 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $245.47 | $501.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $295.12 Typical High $446.68 | Professional | 26 · Professional part | $144.54 | $295.12 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $102.33 | $204.17 | $295.12 |
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 $114.82 Median $120.23 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $47.86 | $51.29 |
Where Washington, DC sits
The same service costs 3.3 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
$240
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.