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 $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $26.92 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $56.23 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $154.88 | Facility | None | $138.04 | $138.04 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $79.43 | $102.33 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $30.90 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $72.44 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $79.43 | $100.00 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $69.18 | $151.36 |
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 $41.69 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $19.95 | $21.88 |
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· 44th of 51
$95.50
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.