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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $120.23 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $112.20 | $181.97 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $104.71 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $102.33 | $158.49 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $63.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $50.12 | $102.33 | $194.98 |
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 $53.70 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $23.99 | $28.18 |
Where Delaware sits
The same service costs 4.6 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· 15th of 51
$182
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.