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 $56.23 Median $63.10 Typical High $186.21 | Facility | None | $56.23 | $63.10 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $56.23 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $23.44 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $56.23 Typical High $67.61 | Professional | TC · Technical part | $30.20 | $56.23 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $194.98 | Facility | None | $100.00 | $100.00 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $51.29 | $89.13 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $26.92 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $54.95 Typical High $81.28 | Professional | TC · Technical part | $28.84 | $54.95 | $81.28 |
Highmark BCBS Setting Facility Modifier None Typical Low $154.88 Median $295.12 Typical High $501.19 | Facility | None | $154.88 | $295.12 | $501.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $61.66 | $79.43 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $26.92 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $109.65 | Professional | TC · Technical part | $36.31 | $51.29 | $109.65 |
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 $25.12 Median $28.18 Typical High $43.65 | Professional | 52 · Reduced service | $25.12 | $28.18 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.22 Typical High $17.78 | Professional | 53 · Discontinued | $10.00 | $11.22 | $17.78 |
Where Delaware sits
The same service costs 4.1 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· 33rd 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.