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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $346.74 | $346.74 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $54.95 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $288.40 | $288.40 | $426.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $51.29 | $281.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $1,995.26 | Professional | None (both parts) | $309.03 | $478.63 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $275.42 | Professional | 26 · Professional part | $53.70 | $70.79 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $407.38 Typical High $1,737.80 | Professional | TC · Technical part | $263.03 | $407.38 | $1,737.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,479.11 | Facility | None | $512.86 | $1,096.48 | $1,479.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $331.13 | $478.63 | $524.81 |
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 $177.83 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $177.83 | $263.03 | $457.09 |
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 $128.82 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $204.17 | $331.13 |
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 $169.82 Median $169.82 Typical High $190.55 | Professional | 52 · Reduced service | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | 53 · Discontinued | $69.18 | $69.18 | $75.86 |
Where West Virginia sits
The same service costs 3.0 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· 45th of 51
$347
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.