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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $26.92 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $10.96 | $13.80 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.05 Typical High $19.95 | Professional | TC · Technical part | $15.85 | $19.05 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $30.90 | $34.67 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $12.02 | $12.59 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $50.12 | Professional | TC · Technical part | $18.62 | $20.89 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $70.79 | Professional | None (both parts) | $25.12 | $37.15 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $23.44 | Professional | 26 · Professional part | $10.00 | $13.80 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $22.39 Typical High $46.77 | Professional | TC · Technical part | $14.45 | $22.39 | $46.77 |
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 $13.49 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.37 | $6.61 | $6.61 |
Where Delaware sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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
$33.11
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.