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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $147.91 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $26.30 | Professional | 26 · Professional part | $24.55 | $25.12 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $123.03 | $144.54 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $77.62 | $147.91 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $138.04 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $549.54 | Professional | None (both parts) | $107.15 | $208.93 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $23.99 | $33.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $61.66 | $173.78 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $436.52 | Professional | None | $190.55 | $218.78 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $107.15 | $263.03 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $21.88 | $50.12 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $85.11 | $208.93 | $489.78 |
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 $74.13 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $29.51 | $33.88 | $33.88 |
Where Washington, DC sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 31st of 51
$166
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.