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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $229.09 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $190.55 | $190.55 | $257.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $851.14 | Facility | None | $263.03 | $489.78 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $1,202.26 | Professional | None (both parts) | $223.87 | $288.40 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $177.83 | Professional | 26 · Professional part | $38.02 | $46.77 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $1,023.29 | Professional | TC · Technical part | $186.21 | $245.47 | $1,023.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Facility | None | $794.33 | $794.33 | $933.25 |
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 $204.17 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $204.17 | $295.12 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $43.65 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $169.82 | $257.04 | $467.74 |
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 $114.82 Median $114.82 Typical High $117.49 | Professional | 52 · Reduced service | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 53 · Discontinued | $45.71 | $45.71 | $46.77 |
Where West Virginia sits
The same service costs 3.1 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· 41st of 51
$269
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.