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 $114.82 Median $125.89 Typical High $229.09 | Facility | None | $114.82 | $125.89 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $114.82 | $114.82 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $22.39 | $24.55 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $91.20 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None (both parts) | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $407.38 | Facility | None | $117.49 | $223.87 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $173.78 Typical High $602.56 | Professional | None (both parts) | $114.82 | $173.78 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $112.20 | Professional | 26 · Professional part | $23.99 | $28.18 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $501.19 | Professional | TC · Technical part | $91.20 | $141.25 | $501.19 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $512.86 Typical High $1,230.27 | Facility | TC · Technical part | $173.78 | $512.86 | $1,230.27 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $100.00 | $158.49 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $50.12 | Professional | 26 · Professional part | $17.78 | $25.70 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $302.00 | Professional | TC · Technical part | $77.62 | $128.82 | $302.00 |
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 $57.54 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.44 |
Where West Virginia sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 39th of 51
$145
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.