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 $79.43 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $43.65 | $54.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $426.58 | Professional | None (both parts) | $74.13 | $95.50 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $177.83 | Professional | 26 · Professional part | $34.67 | $44.67 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $245.47 | Professional | TC · Technical part | $39.81 | $53.70 | $245.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $63.10 | $102.33 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $47.86 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $54.95 Typical High $89.13 | Professional | TC · Technical part | $33.88 | $54.95 | $89.13 |
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 $39.81 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $39.81 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.60 |
Where West Virginia sits
The same service costs 3.0 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· 40th of 51
$85.11
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.