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 $123.03 Median $131.83 Typical High $338.84 | Facility | None | $123.03 | $131.83 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $123.03 | $123.03 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $16.22 | $33.11 |
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 $190.55 Median $190.55 Typical High $194.98 | Facility | None | $190.55 | $190.55 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $117.49 | $173.78 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $21.88 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $158.49 | $194.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $1,148.15 | Facility | None | $295.12 | $302.00 | $1,148.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $363.08 | Professional | 26 · Professional part | $22.91 | $22.91 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $107.15 | $151.36 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $40.74 | Professional | 26 · Professional part | $13.80 | $20.42 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $134.90 | $251.19 |
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 $58.88 Median $64.57 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $26.30 | $28.84 |
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· 40th of 51
$135
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.