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 $229.09 Median $263.03 Typical High $691.83 | Facility | None | $229.09 | $263.03 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $229.09 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $69.18 | $70.79 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $158.49 | $158.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $208.93 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $66.07 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $165.96 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $3,090.30 | Facility | None | $1,905.46 | $2,398.83 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $186.21 | $239.88 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $66.07 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $169.82 | $295.12 |
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 $102.33 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $102.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $52.48 | $52.48 |
Where Delaware sits
The same service costs 3.5 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· 45th of 51
$229
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.