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 $1,230.27 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,230.27 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None (both parts) | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $91.20 | $91.20 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | TC · Technical part | $309.03 | $309.03 | $323.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,318.26 | Facility | None | $645.65 | $645.65 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $630.96 Typical High $1,905.46 | Professional | None (both parts) | $302.00 | $630.96 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $489.78 | Professional | 26 · Professional part | $89.13 | $147.91 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $446.68 Typical High $1,445.44 | Professional | TC · Technical part | $218.78 | $446.68 | $1,445.44 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $691.83 | Facility | None | $457.09 | $457.09 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $213.80 | $323.59 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $69.18 | $102.33 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $218.78 | $346.74 |
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 $199.53 Median $199.53 Typical High $204.17 | Professional | 52 · Reduced service | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $79.43 | $83.18 |
Where West Virginia sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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.
West Virginia· 33rd of 51
$398
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.