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 $223.87 Median $245.47 Typical High $251.19 | Facility | None | $223.87 | $245.47 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $223.87 | $223.87 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $38.02 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $181.97 | $181.97 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $35.48 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $812.83 | Facility | None | $263.03 | $489.78 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $1,148.15 | Professional | None (both parts) | $218.78 | $331.13 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $177.83 | Professional | 26 · Professional part | $35.48 | $43.65 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $977.24 | Professional | TC · Technical part | $181.97 | $269.15 | $977.24 |
Highmark BCBS Setting Facility Modifier None Typical Low $457.09 Median $1,023.29 Typical High $1,230.27 | Facility | None | $457.09 | $1,023.29 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
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 $181.97 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $181.97 | $302.00 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $25.70 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $575.44 | Professional | TC · Technical part | $158.49 | $263.03 | $575.44 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Where West Virginia sits
The same service costs 3.2 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· 40th of 51
$257
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.