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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $109.65 | $120.23 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $60.26 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $91.20 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $46.77 | $66.07 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $53.70 | $102.33 |
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 $51.29 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $25.12 | $25.12 |
Where Delaware sits
The same service costs 3.8 times more in Minnesota 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· 34th of 51
$123
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.