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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $83.18 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $32.36 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $74.13 | $91.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $31.62 | $95.50 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $28.18 | $28.18 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $117.49 Typical High $309.03 | Professional | None (both parts) | $61.66 | $117.49 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $43.65 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $66.07 Typical High $213.80 | Professional | TC · Technical part | $22.39 | $66.07 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $245.47 | Professional | None | $117.49 | $134.90 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $51.29 | $169.82 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $27.54 | $63.10 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $21.88 | $107.15 | $223.87 |
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 $46.77 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $21.38 | $21.38 |
Where Washington, DC sits
The same service costs 3.5 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· 29th of 51
$105
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.