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 $144.54 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $144.54 | $144.54 | $158.49 |
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 $109.65 Median $109.65 Typical High $120.23 | Professional | TC · Technical part | $109.65 | $109.65 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $741.31 | Professional | None (both parts) | $147.91 | $229.09 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $56.23 Typical High $181.97 | Professional | 26 · Professional part | $35.48 | $56.23 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $575.44 | Professional | TC · Technical part | $109.65 | $169.82 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
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 $114.82 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $114.82 | $158.49 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $28.84 | $41.69 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $114.82 | $199.53 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where West Virginia sits
The same service costs 3.0 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· 33rd of 51
$170
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.