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 $109.65 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $109.65 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $50.12 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $229.09 | Facility | None | $117.49 | $194.98 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $891.25 | Professional | None (both parts) | $109.65 | $173.78 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $295.12 | Professional | 26 · Professional part | $58.88 | $83.18 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $89.13 Typical High $407.38 | Professional | TC · Technical part | $51.29 | $89.13 | $407.38 |
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 $97.72 Median $173.78 Typical High $416.87 | Professional | None (both parts) | $97.72 | $173.78 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $67.61 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $44.67 | $109.65 | $257.04 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Where West Virginia sits
The same service costs 4.6 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· 26th of 51
$166
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.