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 $478.63 Median $3,235.94 Typical High $7,244.36 | Facility | None | $478.63 | $3,235.94 | $7,244.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $478.63 Typical High $489.78 | Professional | None (both parts) | $234.42 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $100.00 | Professional | 26 · Professional part | $77.62 | $93.33 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $380.19 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $380.19 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $691.83 | Professional | None (both parts) | $234.42 | $275.42 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $79.43 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $194.98 | $562.34 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $223.87 | $331.13 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $89.13 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $234.42 | $512.86 |
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 $141.25 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $141.25 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $56.23 | $95.50 | $97.72 |
Where Delaware sits
The same service costs 6.5 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.
Delaware· 41st of 51
$347
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.