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 $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | TC · Technical part | $3.39 | $3.39 | $3.39 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None (both parts) | $3.89 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $19.50 Typical High $41.69 | Professional | None (both parts) | $14.45 | $19.50 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $35.48 | Professional | 26 · Professional part | $11.48 | $15.49 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $3.80 Typical High $5.89 | Professional | TC · Technical part | $2.88 | $3.80 | $5.89 |
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 $12.02 Median $13.80 Typical High $57.54 | Professional | None (both parts) | $12.02 | $13.80 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $11.48 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $2.34 Typical High $37.15 | Professional | TC · Technical part | $2.04 | $2.34 | $37.15 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Where West Virginia sits
The same service costs 2.5 times more in California than in Texas. 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· 43rd of 51
$17.38
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.