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 $91.20 Median $91.20 Typical High $97.72 | Professional | None (both parts) | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | TC · Technical part | $53.70 | $53.70 | $57.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $478.63 | Professional | None (both parts) | $89.13 | $117.49 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $186.21 | Professional | 26 · Professional part | $36.31 | $48.98 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $288.40 | Professional | TC · Technical part | $52.48 | $67.61 | $288.40 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $63.10 | $128.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $26.30 | $46.77 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $27.54 | $75.86 | $162.18 |
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 $45.71 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.50 |
Where West Virginia sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$91.20
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.