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 $380.19 Median $380.19 Typical High $407.38 | Facility | None | $380.19 | $380.19 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $380.19 Typical High $398.11 | Professional | None (both parts) | $331.13 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $43.65 | $45.71 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | TC · Technical part | $281.84 | $331.13 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $323.59 | $346.74 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $50.12 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $281.84 | $295.12 | $537.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $281.84 | $363.08 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $316.23 | $524.81 |
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 $169.82 Median $186.21 Typical High $190.55 | Professional | 52 · Reduced service | $169.82 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $75.86 | $75.86 |
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· 27th of 51
$372
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.