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 $138.04 Median $138.04 Typical High $354.81 | Facility | None | $138.04 | $138.04 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $123.03 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.99 Typical High $28.18 | Professional | 26 · Professional part | $13.49 | $23.99 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $112.20 | $154.88 |
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 $199.53 Typical High $229.09 | Professional | None (both parts) | $138.04 | $199.53 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $12.88 | $21.88 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $190.55 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $436.52 Median $851.14 Typical High $851.14 | Facility | None | $436.52 | $851.14 | $851.14 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $128.82 | $154.88 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $20.89 Typical High $26.92 | Professional | 26 · Professional part | $10.00 | $20.89 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $131.83 | $223.87 |
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 $72.44 | Professional | 52 · Reduced service | $60.26 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $27.54 | $28.84 |
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· 37th of 51
$148
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.