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 $74.13 Median $81.28 Typical High $165.96 | Facility | None | $74.13 | $81.28 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $181.97 | Professional | None (both parts) | $74.13 | $74.13 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $12.30 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $61.66 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $11.22 | $70.79 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $281.84 | Facility | None | $131.83 | $223.87 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $426.58 | Professional | None (both parts) | $74.13 | $117.49 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $89.13 | Professional | 26 · Professional part | $12.02 | $16.22 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $102.33 Typical High $380.19 | Professional | TC · Technical part | $63.10 | $102.33 | $380.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $794.33 | Facility | None | $275.42 | $478.63 | $794.33 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | None (both parts) | $87.10 | $87.10 | $89.13 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $107.15 Typical High $257.04 | Professional | None (both parts) | $64.57 | $107.15 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $30.20 | Professional | 26 · Professional part | $9.55 | $14.13 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $95.50 Typical High $223.87 | Professional | TC · Technical part | $53.70 | $95.50 | $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 $37.15 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $37.15 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.49 |
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· 37th of 51
$97.72
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.