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 $165.96 Median $169.82 Typical High $169.82 | Facility | None | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $141.25 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $77.62 | $83.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $57.54 | $87.10 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $117.49 | $123.03 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $79.43 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $144.54 | Professional | TC · Technical part | $39.81 | $51.29 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $295.12 | Facility | None | $177.83 | $177.83 | $295.12 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $100.00 | $144.54 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $87.10 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $34.67 | $74.13 | $138.04 |
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 $74.13 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $33.88 | $33.88 |
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· 41st of 51
$158
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.