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 $173.78 Median $190.55 Typical High $263.03 | Facility | None | $173.78 | $190.55 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $173.78 | $181.97 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $34.67 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $144.54 | $295.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $30.90 | $154.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $630.96 | Facility | None | $263.03 | $489.78 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $891.25 | Professional | None (both parts) | $169.82 | $257.04 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $165.96 | Professional | 26 · Professional part | $33.11 | $44.67 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $758.58 | Professional | TC · Technical part | $138.04 | $213.80 | $758.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $1,445.44 | Facility | None | $489.78 | $954.99 | $1,445.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
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 $147.91 Median $239.88 Typical High $549.54 | Professional | None (both parts) | $147.91 | $239.88 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $26.92 | $38.02 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $120.23 | $199.53 | $457.09 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Where West Virginia sits
The same service costs 3.5 times more in Minnesota 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· 35th of 51
$214
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.