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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $117.49 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $47.86 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $79.43 | $95.50 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $97.72 | $134.90 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $43.65 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $63.10 | $87.10 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $87.10 | $128.82 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $44.67 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $91.20 | $138.04 |
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 $58.88 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $58.88 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $23.44 | $23.44 | $24.55 |
Where Delaware sits
The same service costs 3.2 times more in Alaska than in New York. 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· 35th of 51
$141
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.