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 $58.88 Median $58.88 Typical High $151.36 | Facility | None | $58.88 | $58.88 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $56.23 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $30.20 | Professional | 26 · Professional part | $23.44 | $24.55 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $40.74 | Professional | TC · Technical part | $32.36 | $33.88 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $77.62 | Professional | None (both parts) | $51.29 | $54.95 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $23.44 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $31.62 | $51.29 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $64.57 | $66.07 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $50.12 | $61.66 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $19.50 | $21.88 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $28.84 | $36.31 | $52.48 |
3 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 $28.18 Median $28.84 Typical High $34.67 | Professional | 52 · Reduced service | $28.18 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $11.75 | $13.80 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 59 · Distinct service | $66.07 | $66.07 | $66.07 |
Where Delaware sits
The same service costs 3.5 times more in Alaska 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.
Delaware· 43rd of 51
$58.88
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.