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 $218.78 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $218.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $66.07 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $125.89 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $1,122.02 | Professional | None (both parts) | $218.78 | $338.84 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $141.25 Typical High $426.58 | Professional | 26 · Professional part | $83.18 | $141.25 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $758.58 | Professional | TC · Technical part | $131.83 | $204.17 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $173.78 | $257.04 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $87.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $446.68 | Professional | TC · Technical part | $107.15 | $181.97 | $446.68 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Where West Virginia sits
The same service costs 4.7 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· 25th of 51
$316
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.