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 $21.88 Median $23.99 Typical High $77.62 | Facility | None | $21.88 | $23.99 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $63.10 | Professional | None (both parts) | $21.88 | $21.88 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.02 Typical High $6.17 | Professional | 26 · Professional part | $3.02 | $3.02 | $6.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $56.23 | Professional | TC · Technical part | $18.62 | $18.62 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2.82 Median $19.05 Typical High $29.51 | Professional | None (both parts) | $2.82 | $19.05 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $33.88 Typical High $501.19 | Professional | None (both parts) | $22.39 | $33.88 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $4.79 Typical High $83.18 | Professional | 26 · Professional part | $3.09 | $4.79 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $173.78 | Professional | TC · Technical part | $19.50 | $28.84 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $588.84 | Facility | None | $309.03 | $501.19 | $588.84 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $5.50 Typical High $5.75 | Professional | 26 · Professional part | $4.27 | $5.50 | $5.75 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $57.54 Typical High $165.96 | Professional | None (both parts) | $18.62 | $57.54 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $4.07 Typical High $9.55 | Professional | 26 · Professional part | $2.69 | $4.07 | $9.55 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $51.29 Typical High $158.49 | Professional | TC · Technical part | $16.22 | $51.29 | $158.49 |
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 $10.72 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Where West Virginia sits
The same service costs 2.9 times more in Kansas 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· 32nd of 51
$33.88
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.