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 $85.11 Median $85.11 Typical High $223.87 | Facility | None | $85.11 | $85.11 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $141.25 | Professional | None (both parts) | $85.11 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $12.30 | $12.88 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $120.23 | Professional | TC · Technical part | $72.44 | $109.65 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $186.21 | Facility | None | $131.83 | $131.83 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $79.43 | $120.23 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $12.59 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $107.15 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $1,202.26 | Facility | None | $323.59 | $446.68 | $1,202.26 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $83.18 | $83.18 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $70.79 | $102.33 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.59 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $91.20 | $177.83 |
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 $38.90 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $15.49 | $16.98 | $19.50 |
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· 15th of 51
$123
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.