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 $165.96 Median $165.96 Typical High $436.52 | Facility | None | $165.96 | $165.96 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $154.88 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $30.20 | Professional | 26 · Professional part | $23.44 | $24.55 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $141.25 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $263.03 | Facility | None | $239.88 | $239.88 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $154.88 | $234.42 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $25.70 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $208.93 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $2,754.23 Typical High $2,754.23 | Facility | None | $1,000.00 | $2,754.23 | $2,754.23 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $22.91 | $22.91 | $23.44 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $134.90 | $194.98 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $173.78 | $338.84 |
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 $74.13 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $33.11 | $38.02 |
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· 27th of 51
$204
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.