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 $112.20 Median $112.20 Typical High $295.12 | Facility | None | $112.20 | $112.20 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $89.13 | $89.13 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $31.62 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $57.54 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $104.71 | $128.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $36.31 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $69.18 | $95.50 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $446.68 | Facility | None | $177.83 | $245.47 | $446.68 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $478.63 Typical High $870.96 | Professional | 26 · Professional part | $467.74 | $478.63 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $93.33 | $131.83 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $35.48 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $93.33 | $194.98 |
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 $47.86 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $22.39 | $26.30 |
Where Delaware sits
The same service costs 3.7 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· 40th of 51
$126
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.