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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.96 Median $12.02 Typical High $15.14 | Professional | None (both parts) | $10.96 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $7.41 | $8.32 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.89 Typical High $4.90 | Professional | TC · Technical part | $3.63 | $3.89 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $39.81 | Facility | None | $19.05 | $19.05 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.71 Median $12.59 Typical High $20.89 | Professional | None (both parts) | $8.71 | $12.59 | $20.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $5.62 | $8.91 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.55 Typical High $6.92 | Professional | TC · Technical part | $2.75 | $3.55 | $6.92 |
United Setting Professional Modifier None (both parts) Typical Low $9.55 Median $12.02 Typical High $24.55 | Professional | None (both parts) | $9.55 | $12.02 | $24.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $8.51 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.55 Typical High $7.94 | Professional | TC · Technical part | $2.45 | $3.55 | $7.94 |
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 $5.01 Median $5.50 Typical High $6.61 | Professional | 52 · Reduced service | $5.01 | $5.50 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.19 Typical High $2.69 | Professional | 53 · Discontinued | $2.00 | $2.19 | $2.69 |
Where Delaware sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 45th of 51
$12.02
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.