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 $120.23 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $120.23 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $25.12 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $95.50 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $537.03 | Facility | None | $117.49 | $223.87 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $707.95 | Professional | None (both parts) | $144.54 | $229.09 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $173.78 | Professional | 26 · Professional part | $24.55 | $40.74 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $602.56 | Professional | TC · Technical part | $120.23 | $181.97 | $602.56 |
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 $123.03 Median $199.53 Typical High $436.52 | Professional | None (both parts) | $123.03 | $199.53 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $22.39 | $33.88 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $165.96 Typical High $354.81 | Professional | TC · Technical part | $97.72 | $165.96 | $354.81 |
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 $60.26 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $23.99 | $23.99 | $24.55 |
Where West Virginia sits
The same service costs 3.5 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· 30th of 51
$178
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.