How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $35.48 Median $38.90 Typical High $81.28 | Facility | None | $35.48 | $38.90 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $87.10 | Professional | None (both parts) | $35.48 | $35.48 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $10.00 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $67.61 | Professional | TC · Technical part | $25.12 | $25.12 | $67.61 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.55 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $9.55 | $27.54 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $323.59 | Professional | None (both parts) | $38.02 | $39.81 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $72.44 | Professional | 26 · Professional part | $9.77 | $11.22 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.84 Typical High $158.49 | Professional | TC · Technical part | $28.18 | $28.84 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $1,819.70 | Facility | None | $346.74 | $645.65 | $1,819.70 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $46.77 Typical High $51.29 | Professional | None (both parts) | $20.42 | $46.77 | $51.29 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $12.59 | $14.13 | $20.89 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $38.90 | $54.95 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $9.55 | $13.49 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $28.84 | $41.69 | $72.44 |
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 $17.78 Median $17.78 Typical High $18.20 | Professional | 52 · Reduced service | $17.78 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.24 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.24 |
Where West Virginia sits
The same service costs 3.3 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· 43rd of 51
$46.77
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.