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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $128.82 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $51.29 | $74.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $45.71 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $45.71 | $77.62 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $691.83 | Professional | None (both parts) | $123.03 | $169.82 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $389.05 | Professional | 26 · Professional part | $74.13 | $95.50 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $295.12 | Professional | TC · Technical part | $48.98 | $70.79 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $316.23 Median $851.14 Typical High $1,445.44 | Facility | None | $316.23 | $851.14 | $1,445.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $162.18 | $181.97 | $275.42 |
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 $112.20 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $112.20 | $181.97 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $63.10 | $100.00 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $79.43 | $134.90 |
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 $64.57 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $64.57 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $25.70 | $25.70 | $26.30 |
Where West Virginia sits
The same service costs 4.0 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
$141
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.