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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | None (both parts) | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $22.91 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $47.86 | $47.86 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $56.23 | $85.11 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $18.62 | $26.92 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $57.54 | $74.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $57.54 | $69.18 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $20.89 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $40.74 | $48.98 | $75.86 |
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 $35.48 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.49 |
Where Delaware sits
The same service costs 4.9 times more in Nebraska 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· 40th of 51
$70.79
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.