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 $24.55 Median $27.54 Typical High $72.44 | Facility | None | $24.55 | $27.54 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $27.54 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $3.80 Typical High $4.79 | Professional | 26 · Professional part | $3.47 | $3.80 | $4.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $35.48 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $38.02 Typical High $123.03 | Professional | None (both parts) | $21.88 | $38.02 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.89 Typical High $5.62 | Professional | 26 · Professional part | $2.95 | $3.89 | $5.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $38.02 Typical High $109.65 | Professional | TC · Technical part | $19.05 | $38.02 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,513.56 | Facility | None | $562.34 | $562.34 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $38.90 Typical High $144.54 | Professional | None (both parts) | $20.42 | $38.90 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.63 Typical High $6.61 | Professional | 26 · Professional part | $2.63 | $3.63 | $6.61 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $33.88 Typical High $141.25 | Professional | TC · Technical part | $17.78 | $33.88 | $141.25 |
3 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 $10.96 Median $13.80 Typical High $14.45 | Professional | 52 · Reduced service | $10.96 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $4.37 | $5.62 | $5.89 |
Highmark BCBS Setting Professional Modifier XU · Unusual separate service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | XU · Unusual separate service | $251.19 | $251.19 | $251.19 |
Where Delaware sits
The same service costs 2.9 times more in Kansas than in Maryland. 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· 23rd of 51
$38.90
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.