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 $245.47 Median $257.04 Typical High $660.69 | Facility | None | $245.47 | $257.04 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $199.53 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $30.20 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $169.82 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $229.09 | $331.13 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $35.48 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $295.12 | $389.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $1,862.09 | Facility | None | $660.69 | $1,288.25 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $208.93 | $288.40 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $33.88 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $257.04 | $501.19 |
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 $107.15 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $51.29 | $53.70 |
Where Delaware sits
The same service costs 3.2 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· 39th of 51
$257
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.