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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $19.95 Typical High $20.89 | Professional | None (both parts) | $18.62 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $8.13 | $9.33 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | TC · Technical part | $10.47 | $10.47 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None (both parts) Typical Low $15.49 Median $19.50 Typical High $38.02 | Professional | None (both parts) | $15.49 | $19.50 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $14.79 | Professional | 26 · Professional part | $6.61 | $8.71 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $11.22 Typical High $22.39 | Professional | TC · Technical part | $8.51 | $11.22 | $22.39 |
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 $9.33 Median $10.00 Typical High $10.47 | Professional | 52 · Reduced service | $9.33 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.98 Typical High $4.17 | Professional | 53 · Discontinued | $3.72 | $3.98 | $4.17 |
Where Delaware sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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
$19.05
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.