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 $89.13 Median $89.13 Typical High $234.42 | Facility | None | $89.13 | $89.13 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $77.62 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $38.02 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $61.66 | Professional | TC · Technical part | $44.67 | $51.29 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $70.79 | $91.20 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $42.66 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $75.86 | Professional | TC · Technical part | $38.90 | $47.86 | $75.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $66.07 | $87.10 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $39.81 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $48.98 | $74.13 |
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 $39.81 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $17.78 | $17.78 |
Where Delaware sits
The same service costs 3.0 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· 29th of 51
$89.13
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.