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 $85.11 Median $91.20 Typical High $436.52 | Facility | None | $85.11 | $91.20 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $85.11 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $53.70 | Professional | TC · Technical part | $40.74 | $45.71 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $67.61 | $102.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $34.67 | $52.48 | $75.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $74.13 | $91.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $47.86 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $35.48 | $45.71 | $91.20 |
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 $38.90 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $16.98 | $19.95 |
Where Delaware sits
The same service costs 4.2 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
$87.10
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.