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 $44.67 Median $44.67 Typical High $125.89 | Facility | None | $44.67 | $44.67 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $41.69 | $44.67 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $20.89 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.44 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $23.44 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $194.98 | Facility | None | $77.62 | $77.62 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $41.69 | $74.13 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $27.54 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $23.44 | $43.65 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $39.81 | $60.26 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $50.12 | Professional | 26 · Professional part | $18.20 | $25.70 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $37.15 | $63.10 |
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 $20.42 Median $22.39 Typical High $35.48 | Professional | 52 · Reduced service | $20.42 | $22.39 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.91 Typical High $14.45 | Professional | 53 · Discontinued | $8.13 | $8.91 | $14.45 |
Where Delaware sits
The same service costs 4.5 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.
Delaware· 33rd of 51
$64.57
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.