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 $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $85.11 Typical High $114.82 | Facility | None | $63.10 | $85.11 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $81.28 | $154.88 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $18.62 Typical High $87.10 | Professional | 26 · Professional part | $9.33 | $18.62 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $134.90 Typical High $316.23 | Professional | TC · Technical part | $70.79 | $134.90 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $54.95 | $91.20 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $12.02 Typical High $23.99 | Professional | 26 · Professional part | $6.03 | $12.02 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $48.98 | $79.43 | $154.88 |
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 52 · Reduced service Typical Low $28.18 Median $56.23 Typical High $69.18 | Facility | 52 · Reduced service | $28.18 | $56.23 | $69.18 |
Where West Virginia sits
The same service costs 4.6 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· 30th of 51
$91.20
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.