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 $467.74 Median $467.74 Typical High $1,230.27 | Facility | None | $467.74 | $467.74 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $354.81 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $57.54 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $407.38 | $575.44 |
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 $223.87 Median $229.09 Typical High $741.31 | Professional | None (both parts) | $223.87 | $229.09 | $741.31 |
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 $169.82 Median $257.04 Typical High $660.69 | Professional | TC · Technical part | $169.82 | $257.04 | $660.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,445.44 | Facility | None | $691.83 | $1,000.00 | $1,445.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $338.84 | $338.84 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $190.55 | $363.08 | $676.08 |
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 $123.03 Median $309.03 Typical High $630.96 | Professional | TC · Technical part | $123.03 | $309.03 | $630.96 |
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 $199.53 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $93.33 | $93.33 |
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· 38th of 51
$427
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.