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 $457.09 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $457.09 | $457.09 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 26 · Professional part | $125.89 | $125.89 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $616.60 | Professional | TC · Technical part | $426.58 | $426.58 | $616.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $1,202.26 | Professional | None (both parts) | $245.47 | $380.19 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $199.53 Typical High $676.08 | Professional | 26 · Professional part | $125.89 | $199.53 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $758.58 | Professional | TC · Technical part | $117.49 | $177.83 | $758.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $275.42 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $275.42 | $457.09 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $363.08 | Professional | 26 · Professional part | $102.33 | $147.91 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $331.13 | $478.63 |
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 $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $91.20 | $91.20 | $93.33 |
Where West Virginia sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 38th of 51
$457
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.