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 $1,412.54 Median $1,412.54 Typical High $3,630.78 | Facility | None | $1,412.54 | $1,412.54 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $891.25 Typical High $2,754.23 | Professional | None (both parts) | $524.81 | $891.25 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $501.19 Typical High $1,479.11 | Professional | 26 · Professional part | $275.42 | $501.19 | $1,479.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $389.05 Typical High $1,548.82 | Professional | TC · Technical part | $245.47 | $389.05 | $1,548.82 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $645.65 Typical High $1,318.26 | Professional | None (both parts) | $467.74 | $645.65 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $323.59 Typical High $741.31 | Professional | 26 · Professional part | $239.88 | $323.59 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $229.09 | $316.23 | $575.44 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Where West Virginia sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$676
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.