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 $75.86 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $75.86 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $40.74 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $36.31 | $37.15 | $37.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $67.61 | $79.43 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $42.66 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $32.36 | $36.31 | $63.10 |
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 $56.23 Median $64.57 Typical High $117.49 | Professional | None (both parts) | $56.23 | $64.57 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $33.88 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $60.26 | Professional | TC · Technical part | $25.70 | $28.18 | $60.26 |
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 $38.02 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $15.14 | $16.22 | $16.22 |
Where West Virginia sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 36th of 51
$79.43
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.