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 $54.95 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $54.95 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $33.11 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $23.44 | $38.02 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $123.03 | Professional | None (both parts) | $50.12 | $58.88 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $34.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $46.77 | Professional | TC · Technical part | $20.89 | $23.44 | $46.77 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | TC · Technical part | $295.12 | $295.12 | $295.12 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $60.26 | $81.28 | $95.50 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $75.86 | Professional | None (both parts) | $40.74 | $46.77 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.78 Typical High $23.44 | Professional | TC · Technical part | $14.79 | $17.78 | $23.44 |
2 more rates 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 Professional Modifier 52 · Reduced service Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $10.96 | $11.75 | $11.75 |
Where West Virginia sits
The same service costs 3.7 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· 34th of 51
$58.88
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.