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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $512.86 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $107.15 | $109.65 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $398.11 | $446.68 | $446.68 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $398.11 Median $489.78 Typical High $549.54 | Professional | None (both parts) | $398.11 | $489.78 | $549.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $97.72 | $107.15 | $107.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $691.83 Typical High $1,698.24 | Professional | None (both parts) | $524.81 | $691.83 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $338.84 | Professional | 26 · Professional part | $104.71 | $151.36 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $524.81 Typical High $1,380.38 | Professional | TC · Technical part | $416.87 | $524.81 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,318.26 | Professional | None | $645.65 | $758.58 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,000.00 Typical High $1,737.80 | Professional | None (both parts) | $467.74 | $1,000.00 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $107.15 | $223.87 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $741.31 Typical High $1,412.54 | Professional | TC · Technical part | $363.08 | $741.31 | $1,412.54 |
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 $257.04 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $257.04 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $102.33 | $109.65 | $109.65 |
Where Washington, DC sits
The same service costs 3.1 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· 36th of 51
$550
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.