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 Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $478.63 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
BCBS Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $1,258.93 | Facility | None | $501.19 | $954.99 | $1,258.93 |
BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $269.15 | $309.03 | $363.08 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $213.80 Typical High $302.00 | Professional | 26 · Professional part | $151.36 | $213.80 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $2,951.21 | Facility | None | $660.69 | $1,148.15 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,137.96 Typical High $2,818.38 | Professional | None (both parts) | $1,698.24 | $2,137.96 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $234.42 Typical High $309.03 | Professional | 26 · Professional part | $190.55 | $234.42 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,905.46 Typical High $2,511.89 | Professional | TC · Technical part | $1,698.24 | $1,905.46 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $309.03 | $602.56 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $169.82 Typical High $281.84 | Professional | 26 · Professional part | $120.23 | $169.82 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $457.09 Typical High $831.76 | Professional | TC · Technical part | $190.55 | $457.09 | $831.76 |
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 $239.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $239.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $120.23 | $120.23 |
Where Rhode Island sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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.
Rhode Island· 33rd 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.