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 $39.81 Median $44.67 Typical High $128.82 | Facility | None | $39.81 | $44.67 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $38.90 | $39.81 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $10.23 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $29.51 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $40.74 | $60.26 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.13 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $14.13 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $25.12 | $46.77 | $53.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $177.83 Median $741.31 Typical High $1,584.89 | Facility | None | $177.83 | $741.31 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $39.81 | $39.81 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $81.28 | Professional | None (both parts) | $47.86 | $53.70 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $10.23 | $12.02 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $37.15 | $41.69 | $63.10 |
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 $18.20 Median $19.95 Typical High $22.91 | Professional | 52 · Reduced service | $18.20 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $9.12 | Professional | 53 · Discontinued | $7.24 | $7.94 | $9.12 |
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
$50.12
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.