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 $257.04 Median $263.03 Typical High $691.83 | Facility | None | $257.04 | $263.03 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $309.03 | Professional | None (both parts) | $263.03 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $40.74 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $269.15 | Professional | TC · Technical part | $223.87 | $257.04 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Facility | None | $389.05 | $389.05 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $234.42 | $302.00 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $42.66 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $257.04 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 26 · Professional part | $37.15 | $37.15 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $223.87 | $269.15 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $38.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $190.55 | $234.42 | $467.74 |
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 $117.49 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $117.49 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $52.48 | $58.88 |
Where Delaware sits
The same service costs 3.1 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· 28th of 51
$302
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.