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 $134.90 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $134.90 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $177.83 | $177.83 |
BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $5,011.87 Typical High $8,128.31 | Facility | None | $1,380.38 | $5,011.87 | $8,128.31 |
BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $144.54 | $194.98 | $346.74 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $66.07 | $93.33 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $107.15 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,995.26 Typical High $3,467.37 | Facility | None | $501.19 | $1,995.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $208.93 | $229.09 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $79.43 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $147.91 | $229.09 |
United Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $162.18 | $288.40 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $61.66 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $426.58 | Professional | TC · Technical part | $102.33 | $158.49 | $426.58 |
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 $67.61 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $67.61 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $26.92 | $46.77 | $46.77 |
Where Rhode Island sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 25th of 51
$229
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.