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 $134.90 Median $138.04 Typical High $354.81 | Facility | None | $134.90 | $138.04 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $194.98 | Professional | None (both parts) | $134.90 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $22.39 | $23.44 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $165.96 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $165.96 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $239.88 | Facility | None | $208.93 | $208.93 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $125.89 | $186.21 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $22.39 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $162.18 | $204.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $676.08 Median $2,511.89 Typical High $2,511.89 | Facility | None | $676.08 | $2,511.89 | $2,511.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $109.65 | $158.49 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $22.91 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $138.04 | $269.15 |
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 $60.26 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $60.26 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $26.92 | $30.90 |
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· 16th of 51
$186
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.