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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 26 · Professional part | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | TC · Technical part | $102.33 | $102.33 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $165.96 | $190.55 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $89.13 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $100.00 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $204.17 | $323.59 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $95.50 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $125.89 | $245.47 | $489.78 |
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 $81.28 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $40.74 | $41.69 |
Where Delaware sits
The same service costs 3.1 times more in Alaska than in New York. 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· 46th of 51
$204
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.