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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $45.71 | Professional | None (both parts) | $37.15 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.30 Typical High $12.88 | Professional | 26 · Professional part | $10.96 | $12.30 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $33.11 | Professional | TC · Technical part | $26.30 | $28.18 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $64.57 | Professional | None (both parts) | $38.90 | $48.98 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $10.47 | $14.13 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $44.67 | Professional | TC · Technical part | $28.18 | $35.48 | $44.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $33.11 | $39.81 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $11.22 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $27.54 | $44.67 |
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 $18.62 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $18.62 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $7.41 | $8.13 | $8.51 |
Where Delaware sits
The same service costs 2.9 times more in Alaska 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· 45th of 51
$40.74
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.