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 $38.90 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $38.90 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | TC · Technical part | $40.74 | $40.74 | $41.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None (both parts) | $7.76 | $7.76 | $7.76 |
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 $32.36 Median $32.36 Typical High $112.20 | Professional | None (both parts) | $32.36 | $32.36 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $13.18 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $85.11 | Professional | TC · Technical part | $16.98 | $16.98 | $85.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | None (both parts) | $36.31 | $36.31 | $40.74 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $95.50 | Professional | None (both parts) | $38.02 | $42.66 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $9.77 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $81.28 | Professional | TC · Technical part | $30.20 | $33.11 | $81.28 |
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 $22.91 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $22.91 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.12 | $10.72 | $10.72 |
Where West Virginia sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 42nd of 51
$45.71
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.