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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $131.83 | Professional | None (both parts) | $61.66 | $67.61 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $20.42 | Professional | 26 · Professional part | $16.60 | $16.98 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $50.12 | $114.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $81.28 | Professional | None (both parts) | $60.26 | $72.44 | $81.28 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $18.62 | $20.89 | $20.89 |
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 $63.10 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $63.10 | $107.15 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $52.48 | Professional | 26 · Professional part | $16.22 | $23.44 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $77.62 Typical High $169.82 | Professional | TC · Technical part | $45.71 | $77.62 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $158.49 | Professional | None | $74.13 | $87.10 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $64.57 | $138.04 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $14.45 | $34.67 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $100.00 | $154.88 |
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 $30.90 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $13.49 | $14.13 |
Where Washington, DC sits
The same service costs 3.2 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· 41st of 51
$72.44
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.