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 $158.49 Median $158.49 Typical High $416.87 | Facility | None | $158.49 | $158.49 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $144.54 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $63.10 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $89.13 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $134.90 | $162.18 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $69.18 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $93.33 | $138.04 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | TC · Technical part | $1,737.80 | $1,737.80 | $1,737.80 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $128.82 | $144.54 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $61.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $81.28 | $128.82 |
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 $72.44 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $72.44 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $28.84 | $31.62 | $33.88 |
Where Delaware sits
The same service costs 3.6 times more in Alaska 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· 35th of 51
$158
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.