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 $30.90 Typical High $75.86 | Professional | None (both parts) | $28.18 | $30.90 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $11.48 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.50 Typical High $50.12 | Professional | TC · Technical part | $17.78 | $19.50 | $50.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.72 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $10.72 | $23.99 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $162.18 | Professional | None (both parts) | $28.18 | $45.71 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $53.70 | Professional | 26 · Professional part | $10.23 | $15.85 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $109.65 | Professional | TC · Technical part | $18.20 | $28.18 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $407.38 Typical High $660.69 | Facility | None | $147.91 | $407.38 | $660.69 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $29.51 | $45.71 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $11.22 | $18.62 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $28.18 | $44.67 |
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 26 · Professional part + GC · Resident with teaching physician Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part + GC · Resident with teaching physician | $19.05 | $19.05 | $19.05 |
Where West Virginia sits
The same service costs 2.7 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· 29th of 51
$39.81
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.