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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $933.25 Typical High $1,000.00 | Professional | None (both parts) | $870.96 | $933.25 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $125.89 | Professional | 26 · Professional part | $117.49 | $123.03 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $812.83 Typical High $870.96 | Professional | TC · Technical part | $758.58 | $812.83 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $812.83 | $1,122.02 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $114.82 | $138.04 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $977.24 Typical High $1,548.82 | Professional | TC · Technical part | $707.95 | $977.24 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,047.13 Typical High $2,290.87 | Professional | None (both parts) | $831.76 | $1,047.13 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $281.84 | Professional | 26 · Professional part | $100.00 | $128.82 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $1,995.26 | Professional | TC · Technical part | $724.44 | $954.99 | $1,995.26 |
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 $426.58 Median $467.74 Typical High $501.19 | Professional | 52 · Reduced service | $426.58 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $199.53 | Professional | 53 · Discontinued | $173.78 | $190.55 | $199.53 |
Where Delaware sits
The same service costs 3.2 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· 26th of 51
$1,096
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.