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 Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,621.81 |
BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $4,073.80 Typical High $4,570.88 | Facility | None | $3,630.78 | $4,073.80 | $4,570.88 |
BCBS Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,737.80 Typical High $2,290.87 | Professional | None (both parts) | $1,318.26 | $1,737.80 | $2,290.87 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $316.23 Typical High $363.08 | Professional | 26 · Professional part | $223.87 | $316.23 | $363.08 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,000.00 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $3,630.78 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $588.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,584.89 Typical High $3,019.95 | Professional | TC · Technical part | $1,584.89 | $1,584.89 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,737.80 Typical High $3,311.31 | Professional | None (both parts) | $1,513.56 | $1,737.80 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $588.84 | Professional | 26 · Professional part | $323.59 | $380.19 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,445.44 Typical High $2,754.23 | Professional | TC · Technical part | $1,122.02 | $1,445.44 | $2,754.23 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Where Rhode Island sits
The same service costs 3.2 times more in Alaska than in Texas. 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.
Rhode Island· 26th of 51
$1,905
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.