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 Professional Modifier None (both parts) Typical Low $28.18 Median $28.84 Typical High $64.57 | Professional | None (both parts) | $28.18 | $28.84 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $18.62 | Professional | 26 · Professional part | $7.08 | $7.59 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $46.77 | Professional | TC · Technical part | $20.89 | $20.89 | $46.77 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None (both parts) | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $181.97 | Facility | None | $48.98 | $95.50 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $53.70 Typical High $147.91 | Professional | None (both parts) | $29.51 | $53.70 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.85 Typical High $39.81 | Professional | 26 · Professional part | $8.32 | $15.85 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $112.20 | Professional | TC · Technical part | $23.44 | $36.31 | $112.20 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | TC · Technical part | $562.34 | $562.34 | $562.34 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $20.89 | $33.11 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.77 Typical High $21.38 | Professional | 26 · Professional part | $5.62 | $9.77 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $15.49 | $23.99 | $45.71 |
1 more rate 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 Facility Modifier 53 · Discontinued Typical Low $4.17 Median $8.51 Typical High $10.47 | Facility | 53 · Discontinued | $4.17 | $8.51 | $10.47 |
Where West Virginia sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 20th of 51
$38.02
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.