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 $602.56 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $602.56 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $85.11 | $85.11 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $512.86 Typical High $616.60 | Professional | TC · Technical part | $501.19 | $512.86 | $616.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $691.83 Typical High $2,454.71 | Professional | None (both parts) | $457.09 | $691.83 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $630.96 | Professional | 26 · Professional part | $79.43 | $120.23 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $562.34 Typical High $2,089.30 | Professional | TC · Technical part | $371.54 | $562.34 | $2,089.30 |
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 $501.19 Median $758.58 Typical High $1,380.38 | Professional | None (both parts) | $501.19 | $758.58 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $138.04 Typical High $309.03 | Professional | 26 · Professional part | $77.62 | $138.04 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $1,071.52 | Professional | TC · Technical part | $398.11 | $602.56 | $1,071.52 |
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 $295.12 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Where West Virginia sits
The same service costs 3.3 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· 37th of 51
$603
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.