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 $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $549.54 | Professional | None (both parts) | $104.71 | $169.82 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $288.40 | Professional | 26 · Professional part | $50.12 | $87.10 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $295.12 | Professional | TC · Technical part | $54.95 | $83.18 | $295.12 |
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 $83.18 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $83.18 | $112.20 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $147.91 | Professional | 26 · Professional part | $44.67 | $61.66 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $123.03 | Professional | TC · Technical part | $36.31 | $52.48 | $123.03 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where West Virginia sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 33rd of 51
$123
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.