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 $144.54 Typical High $354.81 | Facility | None | $134.90 | $144.54 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $128.82 | $128.82 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $20.42 | $20.42 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $107.15 | $107.15 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $204.17 | Facility | None | $194.98 | $194.98 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $138.04 | $204.17 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $19.05 | $21.88 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $177.83 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.11 Median $295.12 Typical High $1,258.93 | Facility | None | $33.11 | $295.12 | $1,258.93 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $125.89 | $173.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $17.38 | $22.39 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $154.88 | $302.00 |
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 $74.13 | Professional | 52 · Reduced service | $60.26 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $26.92 | $29.51 |
Where Delaware sits
The same service costs 3.7 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· 34th of 51
$155
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.