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 $208.93 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $61.66 | $61.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $147.91 | $190.55 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $57.54 | $154.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $1,071.52 | Professional | None (both parts) | $213.80 | $323.59 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $309.03 | Professional | 26 · Professional part | $61.66 | $95.50 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $776.25 | Professional | TC · Technical part | $151.36 | $229.09 | $776.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $3,235.94 | Facility | None | $1,479.11 | $2,290.87 | $3,235.94 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $169.82 | $245.47 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $51.29 | $72.44 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $117.49 | $173.78 | $316.23 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Where West Virginia sits
The same service costs 3.5 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· 40th of 51
$251
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.