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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $147.91 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $107.15 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $138.04 | $144.54 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $223.87 | Professional | TC · Technical part | $97.72 | $112.20 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $112.20 | $144.54 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $38.02 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $107.15 | $204.17 |
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 $72.44 Median $91.20 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $37.15 | $37.15 |
Where Delaware sits
The same service costs 3.0 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· 47th of 51
$148
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.