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 $58.88 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $58.88 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | 26 · Professional part | $17.38 | $17.38 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $40.74 | $40.74 | $54.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $549.54 | Professional | None (both parts) | $77.62 | $85.11 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $169.82 | Professional | 26 · Professional part | $19.05 | $20.89 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $436.52 | Professional | TC · Technical part | $57.54 | $63.10 | $436.52 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $102.33 | Professional | None (both parts) | $40.74 | $54.95 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $13.49 | $19.05 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $25.70 | $35.48 | $64.57 |
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 $29.51 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $29.51 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $14.79 | Professional | 53 · Discontinued | $11.75 | $11.75 | $14.79 |
Where West Virginia sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 42nd 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.