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 Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $245.47 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $44.67 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $199.53 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $912.01 | Facility | None | $263.03 | $489.78 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $1,288.25 | Professional | None (both parts) | $251.19 | $338.84 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $234.42 | Professional | 26 · Professional part | $45.71 | $60.26 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $1,071.52 | Professional | TC · Technical part | $204.17 | $281.84 | $1,071.52 |
Highmark BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $194.98 | $309.03 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $53.70 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $158.49 | $251.19 | $524.81 |
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 $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Where West Virginia sits
The same service costs 3.0 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· 37th of 51
$288
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.