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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $309.03 | Professional | None (both parts) | $269.15 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $123.03 | Professional | 26 · Professional part | $109.65 | $120.23 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $186.21 | Professional | TC · Technical part | $165.96 | $181.97 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $275.42 | $275.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $112.20 | $112.20 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $165.96 | $165.96 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $218.78 | $257.04 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $97.72 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $158.49 | $229.09 |
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 $134.90 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $134.90 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $60.26 | $61.66 |
Where Delaware sits
The same service costs 9.8 times more in Alaska than in New York. 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· 38th of 51
$288
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.