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 $144.54 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | 26 · Professional part | $24.55 | $24.55 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $120.23 | $120.23 | $169.82 |
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 $169.82 Median $426.58 Typical High $588.84 | Facility | None | $169.82 | $426.58 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $812.83 | Professional | None (both parts) | $144.54 | $223.87 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $138.04 | Professional | 26 · Professional part | $23.99 | $33.11 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $724.44 | Professional | TC · Technical part | $123.03 | $190.55 | $724.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $173.78 Median $707.95 Typical High $1,122.02 | Facility | None | $173.78 | $707.95 | $1,122.02 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $125.89 | $204.17 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $63.10 | Professional | 26 · Professional part | $19.95 | $28.18 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $426.58 | Professional | TC · Technical part | $102.33 | $181.97 | $426.58 |
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 $72.44 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $28.84 | $28.84 | $29.51 |
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· 34th of 51
$195
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.