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 $109.65 Median $112.20 Typical High $288.40 | Facility | None | $109.65 | $112.20 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $107.15 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $83.18 | $83.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $85.11 | $107.15 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $26.92 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $61.66 | $81.28 | $154.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $537.03 | Facility | None | $239.88 | $398.11 | $537.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $229.09 Typical High $239.88 | Professional | None (both parts) | $109.65 | $229.09 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $79.43 | $109.65 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $26.92 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $79.43 | $162.18 |
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 $46.77 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $46.77 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $21.88 | $25.12 |
Where Delaware sits
The same service costs 4.1 times more in Minnesota 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· 44th of 51
$107
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.