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 $67.61 Median $67.61 Typical High $72.44 | Professional | None (both parts) | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $36.31 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | TC · Technical part | $31.62 | $31.62 | $34.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $60.26 | $104.71 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $141.25 | Professional | 26 · Professional part | $32.36 | $54.95 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $48.98 Typical High $70.79 | Professional | TC · Technical part | $25.70 | $48.98 | $70.79 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $138.04 | Professional | None (both parts) | $48.98 | $67.61 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $29.51 | $40.74 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $26.92 | $46.77 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Where West Virginia sits
The same service costs 3.3 times more in Alaska 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· 35th of 51
$72.44
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.