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 $74.13 Median $74.13 Typical High $151.36 | Facility | None | $74.13 | $74.13 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $91.20 | Professional | None (both parts) | $74.13 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | 26 · Professional part | $29.51 | $29.51 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $56.23 | Professional | TC · Technical part | $42.66 | $48.98 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $60.26 | $93.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $33.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $38.90 | $60.26 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $69.18 | $87.10 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $37.15 | $54.95 | $100.00 |
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 $33.11 Median $36.31 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.79 Typical High $17.38 | Professional | 53 · Discontinued | $13.18 | $14.79 | $17.38 |
Where Delaware sits
The same service costs 3.7 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· 46th of 51
$79.43
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.