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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $18.20 Typical High $18.62 | Professional | None (both parts) | $14.79 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $7.41 | $9.33 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $8.91 Typical High $9.33 | Professional | TC · Technical part | $7.41 | $8.91 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $18.20 Typical High $30.90 | Professional | None (both parts) | $15.85 | $18.20 | $30.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.71 Typical High $15.49 | Professional | 26 · Professional part | $7.76 | $8.71 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $9.33 Typical High $15.85 | Professional | TC · Technical part | $7.94 | $9.33 | $15.85 |
United Setting Professional Modifier None (both parts) Typical Low $13.49 Median $18.20 Typical High $29.51 | Professional | None (both parts) | $13.49 | $18.20 | $29.51 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $6.61 | $9.12 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $9.12 Typical High $15.14 | Professional | TC · Technical part | $6.46 | $9.12 | $15.14 |
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 $7.41 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.63 Typical High $3.72 | Professional | 53 · Discontinued | $2.95 | $3.63 | $3.72 |
Where Delaware sits
The same service costs 2.7 times more in Minnesota 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· 36th of 51
$18.20
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.