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 $154.88 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $74.13 | $74.13 | $87.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $63.10 | $104.71 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $776.25 | Professional | None (both parts) | $144.54 | $199.53 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $389.05 | Professional | 26 · Professional part | $75.86 | $102.33 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $389.05 | Professional | TC · Technical part | $60.26 | $91.20 | $389.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $100.00 | $144.54 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $60.26 | $95.50 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $32.36 | $54.95 | $85.11 |
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 $77.62 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $30.90 | $31.62 |
Where West Virginia sits
The same service costs 3.9 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· 42nd of 51
$155
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.