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 $114.82 Median $114.82 Typical High $302.00 | Facility | None | $114.82 | $114.82 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $114.82 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $30.90 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $104.71 | Professional | TC · Technical part | $81.28 | $83.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $398.11 | Facility | None | $186.21 | $186.21 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $91.20 | $120.23 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $34.67 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $83.18 | $147.91 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | TC · Technical part | $467.74 | $467.74 | $467.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $275.42 | Professional | None (both parts) | $123.03 | $123.03 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $91.20 | $114.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $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 $50.12 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $50.12 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $22.91 | $25.70 |
Where Delaware sits
The same service costs 3.9 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· 42nd of 51
$115
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.