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 $446.68 Median $446.68 Typical High $1,174.90 | Facility | None | $446.68 | $446.68 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $389.05 | $446.68 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $87.10 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $295.12 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $741.31 | Professional | None (both parts) | $295.12 | $323.59 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $85.11 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $234.42 | $602.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,698.24 | Facility | None | $1,000.00 | $1,000.00 | $1,698.24 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $257.04 | $354.81 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $91.20 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $281.84 | $575.44 |
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 $194.98 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $93.33 | Professional | 53 · Discontinued | $77.62 | $89.13 | $93.33 |
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· 37th of 51
$437
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.