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 $117.49 Median $117.49 Typical High $309.03 | Facility | None | $117.49 | $117.49 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $97.72 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $51.29 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $66.07 Typical High $72.44 | Professional | TC · Technical part | $44.67 | $66.07 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $85.11 | $93.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $50.12 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $117.49 | Professional | TC · Technical part | $37.15 | $46.77 | $117.49 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $69.18 | $107.15 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $56.23 Typical High $104.71 | Professional | TC · Technical part | $28.84 | $56.23 | $104.71 |
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 $52.48 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $23.44 | $24.55 |
Where Delaware sits
The same service costs 3.9 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.
Delaware· 36th of 51
$112
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.