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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $57.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $27.54 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $29.51 | $29.51 | $42.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $676.08 | Professional | None (both parts) | $61.66 | $66.07 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $138.04 | Professional | 26 · Professional part | $25.70 | $30.20 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $199.53 | Professional | TC · Technical part | $32.36 | $36.31 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $85.11 Median $977.24 Typical High $1,778.28 | Facility | None | $85.11 | $977.24 | $1,778.28 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $56.23 | $56.23 |
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 $43.65 Median $58.88 Typical High $138.04 | Professional | None (both parts) | $43.65 | $58.88 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $28.18 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $69.18 | Professional | TC · Technical part | $21.38 | $29.51 | $69.18 |
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 $28.84 Median $28.84 Typical High $29.51 | Professional | 52 · Reduced service | $28.84 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.75 |
Where West Virginia sits
The same service costs 3.6 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· 34th of 51
$66.07
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.