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 $95.50 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $95.50 | $107.15 | $114.82 |
CareSource 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 $50.12 Median $151.36 Typical High $181.97 | Facility | None | $50.12 | $151.36 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $245.47 Typical High $758.58 | Professional | None (both parts) | $58.88 | $245.47 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $138.04 Typical High $467.74 | Professional | 26 · Professional part | $36.31 | $138.04 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $104.71 Typical High $489.78 | Professional | TC · Technical part | $22.91 | $104.71 | $489.78 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $70.79 | $263.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $120.23 Typical High $194.98 | Professional | 26 · Professional part | $45.71 | $120.23 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $109.65 Typical High $288.40 | Professional | TC · Technical part | $27.54 | $109.65 | $288.40 |
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 $8.51 Median $8.51 Typical High $8.51 | Facility | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Where West Virginia sits
The same service costs 7.6 times more in Alaska than in Alabama. 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· 21st of 51
$182
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.