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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $398.11 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $346.74 | $346.74 | $478.63 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $51.29 | $338.84 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $549.54 Typical High $2,344.23 | Professional | None (both parts) | $363.08 | $549.54 | $2,344.23 |
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 $316.23 Median $478.63 Typical High $2,041.74 | Professional | TC · Technical part | $316.23 | $478.63 | $2,041.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,479.11 | Facility | None | $537.03 | $1,023.29 | $1,479.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
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 $288.40 Typical High $489.78 | Professional | None (both parts) | $190.55 | $288.40 | $489.78 |
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 $123.03 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $229.09 | $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 $199.53 Median $199.53 Typical High $218.78 | Professional | 52 · Reduced service | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | 53 · Discontinued | $79.43 | $79.43 | $87.10 |
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
$398
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.