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 $100.00 Median $102.33 Typical High $263.03 | Facility | None | $100.00 | $102.33 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $100.00 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $27.54 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $69.18 | $85.11 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $194.98 | Facility | None | $158.49 | $158.49 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $75.86 | $100.00 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $22.39 | $31.62 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $67.61 | $114.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $107.15 Median $295.12 Typical High $575.44 | Facility | None | $107.15 | $295.12 | $575.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $89.13 | $97.72 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $83.18 | $104.71 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $30.20 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $74.13 | $158.49 |
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 $38.02 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $19.95 | $20.42 |
Where Delaware sits
The same service costs 4.2 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· 31st of 51
$112
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.