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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None (both parts) | $851.14 | $851.14 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $123.03 | $123.03 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $1,047.13 | Professional | TC · Technical part | $724.44 | $724.44 | $1,047.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,174.90 Typical High $4,897.79 | Professional | None (both parts) | $851.14 | $1,174.90 | $4,897.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $588.84 | Professional | 26 · Professional part | $117.49 | $151.36 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,000.00 Typical High $4,265.80 | Professional | TC · Technical part | $741.31 | $1,000.00 | $4,265.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $4,786.30 | Facility | None | $3,467.37 | $3,981.07 | $4,786.30 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,318.26 Typical High $2,290.87 | Professional | None (both parts) | $724.44 | $1,318.26 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $162.18 Typical High $316.23 | Professional | 26 · Professional part | $100.00 | $162.18 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,148.15 Typical High $1,995.26 | Professional | TC · Technical part | $616.60 | $1,148.15 | $1,995.26 |
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 $426.58 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $169.82 | $190.55 |
Where West Virginia sits
The same service costs 2.9 times more in Alaska 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· 46th of 51
$977
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.