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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $35.48 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $14.45 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $27.54 | Professional | TC · Technical part | $22.91 | $24.55 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $39.81 Typical High $58.88 | Professional | None (both parts) | $37.15 | $39.81 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $12.30 | $14.13 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $23.99 | $37.15 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $34.67 Typical High $51.29 | Professional | None (both parts) | $30.20 | $34.67 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $11.22 | $12.88 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.88 Typical High $32.36 | Professional | TC · Technical part | $19.05 | $21.88 | $32.36 |
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 $17.78 Median $19.50 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $7.08 | $7.94 | $8.32 |
Where Delaware sits
The same service costs 2.7 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· 41st of 51
$38.90
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.