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 $269.15 Median $281.84 Typical High $724.44 | Facility | None | $269.15 | $281.84 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $263.03 | $263.03 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $93.33 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $177.83 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $407.38 | Facility | None | $398.11 | $398.11 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $251.19 | $398.11 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $91.20 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $309.03 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $107.15 Median $1,348.96 Typical High $2,691.53 | Facility | None | $107.15 | $1,348.96 | $2,691.53 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $257.04 | $263.03 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $229.09 | $338.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $81.28 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $512.86 | Professional | TC · Technical part | $181.97 | $269.15 | $512.86 |
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 $125.89 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $125.89 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $58.88 | Professional | 53 · Discontinued | $50.12 | $56.23 | $58.88 |
Where Delaware sits
The same service costs 3.3 times more in Minnesota 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· 38th of 51
$295
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.