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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $309.03 | $309.03 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $54.95 | $54.95 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $257.04 | $257.04 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $1,862.09 | Professional | None (both parts) | $302.00 | $436.52 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $281.84 | Professional | 26 · Professional part | $53.70 | $74.13 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $371.54 Typical High $1,548.82 | Professional | TC · Technical part | $239.88 | $371.54 | $1,548.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,445.44 | Facility | None | $870.96 | $1,122.02 | $1,445.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | None (both parts) | $426.58 | $426.58 | $446.68 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $190.55 | $275.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $128.82 | Professional | 26 · Professional part | $40.74 | $66.07 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $144.54 | $213.80 | $371.54 |
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 $154.88 Median $154.88 Typical High $169.82 | Professional | 52 · Reduced service | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 53 · Discontinued | $61.66 | $61.66 | $69.18 |
Where West Virginia sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 44th of 51
$309
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.