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 $398.11 Median $398.11 Typical High $1,047.13 | Facility | None | $398.11 | $398.11 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $323.59 | $398.11 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $57.54 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $263.03 | $338.84 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $218.78 | $245.47 | $645.65 |
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 $165.96 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $165.96 | $218.78 | $562.34 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,023.29 Typical High $2,089.30 | Facility | None | $851.14 | $1,023.29 | $2,089.30 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $741.31 Typical High $794.33 | Professional | None (both parts) | $398.11 | $741.31 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $190.55 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $60.26 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $257.04 | $537.03 |
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 $169.82 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $169.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $69.18 | $79.43 | $79.43 |
Where Delaware sits
The same service costs 3.0 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· 34th of 51
$380
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.