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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $45.71 | Professional | None (both parts) | $24.55 | $24.55 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $12.59 | Professional | 26 · Professional part | $8.13 | $8.13 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $36.31 | Professional | TC · Technical part | $16.60 | $16.60 | $36.31 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.76 Median $22.39 Typical High $33.88 | Professional | None (both parts) | $7.76 | $22.39 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $186.21 | Professional | None (both parts) | $26.30 | $28.18 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $41.69 | Professional | 26 · Professional part | $7.76 | $8.91 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.50 Typical High $102.33 | Professional | TC · Technical part | $18.62 | $19.50 | $102.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $794.33 | Facility | None | $295.12 | $371.54 | $794.33 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $33.11 | $33.11 | $37.15 |
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 $23.99 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $23.99 | $33.11 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.13 Typical High $14.13 | Professional | 26 · Professional part | $5.89 | $8.13 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $24.55 | $41.69 |
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 $12.30 Median $12.30 Typical High $12.59 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.13 |
Where West Virginia sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 49th of 51
$28.18
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.