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 $27.54 Median $30.90 Typical High $75.86 | Facility | None | $27.54 | $30.90 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $27.54 Typical High $44.67 | Professional | None (both parts) | $26.92 | $27.54 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $10.23 | Professional | 26 · Professional part | $7.59 | $8.32 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $30.90 | Professional | TC · Technical part | $19.05 | $19.05 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $44.67 | Professional | None (both parts) | $27.54 | $35.48 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.13 Typical High $12.02 | Professional | 26 · Professional part | $7.08 | $8.13 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.92 Typical High $33.88 | Professional | TC · Technical part | $16.60 | $26.92 | $33.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $239.88 Median $489.78 Typical High $1,122.02 | Facility | None | $239.88 | $489.78 | $1,122.02 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $46.77 | Professional | None (both parts) | $28.84 | $28.84 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $28.18 | $31.62 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $10.72 | Professional | 26 · Professional part | $6.61 | $7.59 | $10.72 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $21.38 | $23.99 | $35.48 |
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 $12.59 Median $13.80 Typical High $15.14 | Professional | 52 · Reduced service | $12.59 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.50 Typical High $6.03 | Professional | 53 · Discontinued | $5.01 | $5.50 | $6.03 |
Where Delaware sits
The same service costs 2.5 times more in Alaska than in Texas. 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· 44th of 51
$30.20
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.