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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $107.15 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $64.57 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $43.65 | $61.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $64.57 Typical High $138.04 | Professional | None (both parts) | $38.02 | $64.57 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $575.44 | Professional | None (both parts) | $102.33 | $141.25 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $323.59 | Professional | 26 · Professional part | $61.66 | $81.28 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $245.47 | Professional | TC · Technical part | $40.74 | $57.54 | $245.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $537.03 Typical High $1,258.93 | Facility | None | $309.03 | $537.03 | $1,258.93 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $134.90 | $151.36 | $229.09 |
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 $93.33 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $93.33 | $151.36 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $83.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $66.07 | $112.20 |
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 $53.70 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.88 |
Where West Virginia sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 41st of 51
$117
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.