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 Professional Modifier None (both parts) Typical Low $6.03 Median $10.47 Typical High $10.47 | Professional | None (both parts) | $6.03 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.63 Typical High $2.63 | Professional | 26 · Professional part | $2.29 | $2.63 | $2.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $7.94 Typical High $7.94 | Professional | TC · Technical part | $3.80 | $7.94 | $7.94 |
BCBS Setting Facility Modifier None Typical Low $56.23 Median $213.80 Typical High $257.04 | Facility | None | $56.23 | $213.80 | $257.04 |
BCBS Setting Professional Modifier None (both parts) Typical Low $6.76 Median $9.12 Typical High $14.79 | Professional | None (both parts) | $6.76 | $9.12 | $14.79 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $3.24 Typical High $4.79 | Professional | 26 · Professional part | $2.29 | $3.24 | $4.79 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.90 Typical High $5.75 | Professional | TC · Technical part | $4.07 | $4.90 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $173.78 Typical High $302.00 | Facility | None | $21.38 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.77 Median $10.47 Typical High $14.79 | Professional | None (both parts) | $9.77 | $10.47 | $14.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $3.98 Typical High $5.50 | Professional | 26 · Professional part | $3.31 | $3.98 | $5.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $6.61 Typical High $9.55 | Professional | TC · Technical part | $6.46 | $6.61 | $9.55 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $7.08 Median $12.88 Typical High $38.02 | Professional | None (both parts) | $7.08 | $12.88 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.16 Typical High $4.90 | Professional | 26 · Professional part | $2.63 | $3.16 | $4.90 |
United Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $6.92 Typical High $27.54 | Professional | TC · Technical part | $4.07 | $6.92 | $27.54 |
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 $3.02 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $3.02 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $1.23 | $2.09 | $2.09 |
Where Rhode Island sits
The same service costs 4.2 times more in Kansas 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.
Rhode Island· 27th of 51
$10.47
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.