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 $1,000.00 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,000.00 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $120.23 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $870.96 | $1,023.29 | $1,023.29 |
BCBS Setting Facility Modifier None Typical Low $19.95 Median $1,737.80 Typical High $2,089.30 | Facility | None | $19.95 | $1,737.80 | $2,089.30 |
BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $977.24 Typical High $1,778.28 | Professional | None (both parts) | $741.31 | $977.24 | $1,778.28 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $134.90 | $194.98 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $851.14 Typical High $1,318.26 | Professional | TC · Technical part | $588.84 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $2,089.30 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $128.82 | $128.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $1,659.59 | Professional | TC · Technical part | $912.01 | $912.01 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,122.02 Typical High $1,778.28 | Professional | None (both parts) | $912.01 | $1,122.02 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $144.54 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,548.82 | Professional | TC · Technical part | $831.76 | $977.24 | $1,548.82 |
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 $501.19 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $501.19 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $199.53 | $234.42 | $234.42 |
Where Rhode Island sits
The same service costs 3.2 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.
Rhode Island· 24th of 51
$1,122
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.