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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $588.84 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $208.93 Typical High $245.47 | Professional | 26 · Professional part | $204.17 | $208.93 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $371.54 | $467.74 | $467.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $213.80 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $213.80 | $562.34 | $794.33 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 26 · Professional part | $234.42 | $234.42 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $831.76 Typical High $2,187.76 | Professional | None (both parts) | $380.19 | $831.76 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $275.42 Typical High $645.65 | Professional | 26 · Professional part | $199.53 | $275.42 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $489.78 Typical High $1,548.82 | Professional | TC · Technical part | $117.49 | $489.78 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,659.59 | Professional | None | $831.76 | $977.24 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $977.24 Typical High $2,187.76 | Professional | None (both parts) | $346.74 | $977.24 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $416.87 Typical High $645.65 | Professional | 26 · Professional part | $169.82 | $416.87 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $691.83 Typical High $1,513.56 | Professional | TC · Technical part | $162.18 | $691.83 | $1,513.56 |
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 $302.00 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $302.00 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $120.23 | $134.90 | $134.90 |
Where Washington, DC sits
The same service costs 3.2 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· 30th of 51
$676
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.