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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | None (both parts) | $18.62 | $18.62 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | 26 · Professional part | $8.13 | $8.13 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | TC · Technical part | $10.47 | $10.47 | $10.47 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $26.92 | Professional | None (both parts) | $22.39 | $24.55 | $26.92 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.91 | $8.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $14.13 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $41.69 | Professional | None | $18.20 | $21.88 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $16.60 Median $27.54 Typical High $53.70 | Professional | None (both parts) | $16.60 | $27.54 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $6.76 | $11.48 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $16.60 Typical High $30.90 | Professional | TC · Technical part | $9.77 | $16.60 | $30.90 |
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 $9.33 Median $9.33 Typical High $9.55 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.80 |
Where Washington, DC sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 26th of 51
$22.39
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.