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 $186.21 Median $186.21 Typical High $257.04 | Facility | None | $186.21 | $186.21 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $194.98 | $194.98 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $70.79 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $125.89 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $831.76 | Facility | None | $416.87 | $416.87 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $177.83 | $245.47 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $93.33 | $169.82 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $154.88 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $77.62 | $158.49 | $288.40 |
3 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 $107.15 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $107.15 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $43.65 | $51.29 | $56.23 |
Highmark BCBS Setting Professional Modifier XS · Separate structure Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | XS · Separate structure | $741.31 | $741.31 | $758.58 |
Where Delaware sits
The same service costs 5.0 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· 45th of 51
$229
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.