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 $57.54 Median $58.88 Typical High $61.66 | Professional | None (both parts) | $57.54 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $32.36 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $32.36 | $34.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $24.55 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $24.55 | $34.67 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $48.98 | $57.54 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $25.12 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $32.36 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $85.11 | $91.20 | $95.50 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $40.74 | $46.77 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $21.38 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $56.23 | Professional | TC · Technical part | $22.91 | $25.12 | $56.23 |
3 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 |
Highmark BCBS Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 51 · Multiple procedures | $95.50 | $95.50 | $95.50 |
Where West Virginia sits
The same service costs 3.5 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· 44th of 51
$57.54
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.