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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $46.77 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $23.44 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $23.44 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $75.86 | Professional | None (both parts) | $60.26 | $64.57 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $31.62 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $32.36 | $34.67 | $42.66 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $87.10 | Facility | None | $74.13 | $87.10 | $87.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $89.13 Typical High $389.05 | Professional | None (both parts) | $45.71 | $89.13 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $43.65 Typical High $194.98 | Professional | 26 · Professional part | $22.91 | $43.65 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $45.71 Typical High $194.98 | Professional | TC · Technical part | $23.44 | $45.71 | $194.98 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | None | $63.10 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $75.86 Typical High $104.71 | Professional | None (both parts) | $41.69 | $75.86 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $37.15 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $38.90 | $53.70 |
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 $23.44 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $23.44 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.33 | $10.23 | $10.23 |
Where South Dakota sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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.
South Dakota· 4th of 51
$74.13
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.