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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $602.56 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $151.36 Typical High $154.88 | Professional | 26 · Professional part | $141.25 | $151.36 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $630.96 Typical High $645.65 | Professional | TC · Technical part | $562.34 | $630.96 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $239.88 | $302.00 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $144.54 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $158.49 | $239.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $2,238.72 | Facility | None | $676.08 | $676.08 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $257.04 | $501.19 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $251.19 | Professional | 26 · Professional part | $107.15 | $138.04 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $331.13 Typical High $741.31 | Professional | TC · Technical part | $138.04 | $331.13 | $741.31 |
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 $234.42 Median $302.00 Typical High $331.13 | Professional | 52 · Reduced service | $234.42 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $93.33 | $120.23 | $131.83 |
Where Delaware sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 38th of 51
$457
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.