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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $131.83 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 26 · Professional part | $20.89 | $20.89 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $177.83 | Professional | TC · Technical part | $107.15 | $169.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $117.49 | $173.78 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $22.39 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $151.36 | $186.21 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | TC · Technical part | $575.44 | $575.44 | $575.44 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $107.15 | $151.36 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $23.44 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $131.83 | $245.47 |
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 $58.88 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $23.44 | $26.30 | $29.51 |
Where Delaware sits
The same service costs 3.3 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· 19th of 51
$174
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.