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 $63.10 Median $63.10 Typical High $165.96 | Facility | None | $63.10 | $63.10 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $57.54 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $28.18 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $32.36 | $34.67 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $61.66 | $64.57 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $28.18 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $31.62 | $32.36 | $50.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,089.30 | Facility | None | $794.33 | $1,288.25 | $2,089.30 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $27.54 | $30.90 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $46.77 | $53.70 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $21.88 | $25.12 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $25.12 | $28.84 | $45.71 |
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 $28.18 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $28.18 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $13.18 | Professional | 53 · Discontinued | $11.22 | $12.59 | $13.18 |
Where Delaware sits
The same service costs 3.6 times more in Minnesota 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· 39th of 51
$63.10
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.