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 $112.20 Median $112.20 Typical High $295.12 | Facility | None | $112.20 | $112.20 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $100.00 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $70.79 | $79.43 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $34.67 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $34.67 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $87.10 | $91.20 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $67.61 | $69.18 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $30.20 | Professional | TC · Technical part | $18.20 | $19.50 | $30.20 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $75.86 | $87.10 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $64.57 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $30.90 | Professional | TC · Technical part | $15.14 | $22.91 | $30.90 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 59 · Distinct service | $457.09 | $457.09 | $457.09 |
Where Delaware sits
The same service costs 3.3 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· 42nd of 51
$102
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.