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 Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $50.12 | Facility | None | $23.44 | $26.30 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $50.12 | Professional | None (both parts) | $23.44 | $23.44 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $12.59 | Professional | 26 · Professional part | $7.08 | $7.08 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $37.15 | Professional | TC · Technical part | $16.60 | $16.60 | $37.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.61 Median $17.78 Typical High $32.36 | Professional | None (both parts) | $6.61 | $17.78 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $37.15 Typical High $223.87 | Professional | None (both parts) | $24.55 | $37.15 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.22 Typical High $38.02 | Professional | 26 · Professional part | $7.24 | $11.22 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $91.20 | Professional | TC · Technical part | $17.38 | $25.70 | $91.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $676.08 | Facility | None | $398.11 | $489.78 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $40.74 Typical High $77.62 | Professional | None (both parts) | $20.42 | $40.74 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.71 Typical High $19.50 | Professional | 26 · Professional part | $5.89 | $8.71 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $14.13 | $30.20 | $60.26 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.68 | $4.68 | $4.68 |
Where West Virginia sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 29th of 51
$34.67
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.