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 $295.12 Median $323.59 Typical High $323.59 | Facility | None | $295.12 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $295.12 Typical High $331.13 | Professional | None (both parts) | $288.40 | $295.12 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $70.79 | $323.59 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $831.76 Typical High $1,023.29 | Facility | None | $263.03 | $831.76 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $549.54 Typical High $1,862.09 | Professional | None (both parts) | $173.78 | $549.54 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $109.65 Typical High $295.12 | Professional | 26 · Professional part | $29.51 | $109.65 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $489.78 Typical High $1,548.82 | Professional | TC · Technical part | $144.54 | $489.78 | $1,548.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $1,000.00 | Facility | None | $331.13 | $416.87 | $1,000.00 |
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 $162.18 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $162.18 | $323.59 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $36.31 | $95.50 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $223.87 | $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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 59 · Distinct service | $467.74 | $467.74 | $467.74 |
Where West Virginia sits
The same service costs 9.1 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· 34th of 51
$324
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.