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 $363.08 Median $363.08 Typical High $933.25 | Facility | None | $363.08 | $363.08 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $323.59 | $363.08 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $57.54 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $302.00 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $588.84 | Professional | None (both parts) | $239.88 | $251.19 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $54.95 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $199.53 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,238.72 | Facility | None | $1,000.00 | $1,000.00 | $2,238.72 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $416.87 Typical High $446.68 | Professional | 26 · Professional part | $56.23 | $416.87 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $208.93 | $288.40 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $60.26 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $165.96 | $234.42 | $467.74 |
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 $154.88 Median $177.83 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $72.44 | $75.86 |
Where Delaware sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 36th of 51
$347
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.