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 $45.71 Median $120.23 Typical High $151.36 | Facility | None | $45.71 | $120.23 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $45.71 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $45.71 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $37.15 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $194.98 | Facility | None | $79.43 | $79.43 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $87.10 Typical High $134.90 | Professional | None (both parts) | $43.65 | $87.10 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $24.55 | $45.71 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $16.98 | $36.31 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $43.65 | $75.86 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $25.70 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $33.88 Typical High $72.44 | Professional | TC · Technical part | $17.78 | $33.88 | $72.44 |
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 $20.89 Median $22.91 Typical High $44.67 | Professional | 52 · Reduced service | $20.89 | $22.91 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $18.20 | Professional | 53 · Discontinued | $8.32 | $9.12 | $18.20 |
Where Delaware sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 21st of 51
$83.18
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.