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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $102.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $69.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $229.09 | Facility | None | $194.98 | $194.98 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $154.88 | $213.80 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $34.67 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $181.97 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $134.90 | $190.55 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $29.51 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $112.20 | $158.49 | $309.03 |
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 $61.66 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $27.54 | $34.67 |
Where Delaware sits
The same service costs 3.5 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· 42nd of 51
$162
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.