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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $64.57 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | 26 · Professional part | $17.78 | $17.78 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $47.86 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $51.29 | $75.86 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $17.38 | $18.20 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $58.88 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $85.11 | Professional | None (both parts) | $46.77 | $56.23 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $16.98 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $40.74 | $58.88 |
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 $33.11 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | 53 · Discontinued | $13.18 | $13.18 | $15.49 |
Where Delaware sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 45th of 51
$66.07
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.