How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $194.98 Median $194.98 Typical High $218.78 | Facility | None | $194.98 | $194.98 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $109.65 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $95.50 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $102.33 | Professional | 26 · Professional part | $25.70 | $25.70 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $144.54 | $245.47 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $120.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $123.03 | $128.82 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $117.49 Typical High $131.83 | Professional | 26 · Professional part | $29.51 | $117.49 | $131.83 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $147.91 | $208.93 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $50.12 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $120.23 | $223.87 |
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 $54.95 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $54.95 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $21.88 | $38.90 | $38.90 |
Where Arkansas sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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.
Arkansas· 29th of 51
$195
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.