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 $117.49 Median $120.23 Typical High $309.03 | Facility | None | $117.49 | $120.23 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $112.20 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $29.51 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $83.18 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $194.98 | Facility | None | $186.21 | $186.21 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $91.20 | $117.49 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $85.11 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $295.12 Typical High $588.84 | Facility | None | $165.96 | $295.12 | $588.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $120.23 | $120.23 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $87.10 | $114.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $81.28 | $165.96 |
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 $51.29 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $23.44 | $26.30 |
Where Delaware sits
The same service costs 3.6 times more in Alaska 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· 41st of 51
$117
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.