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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $239.88 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | 26 · Professional part | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $85.11 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74.13 Median $147.91 Typical High $309.03 | Professional | None (both parts) | $74.13 | $147.91 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $1,230.27 | Professional | None (both parts) | $229.09 | $309.03 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $758.58 | Professional | 26 · Professional part | $147.91 | $190.55 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $467.74 | Professional | TC · Technical part | $81.28 | $112.20 | $467.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $478.63 Median $1,174.90 Typical High $1,862.09 | Facility | None | $478.63 | $1,174.90 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $295.12 | $331.13 | $512.86 |
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 $204.17 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $204.17 | $338.84 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $199.53 Typical High $380.19 | Professional | 26 · Professional part | $125.89 | $199.53 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $81.28 | $134.90 | $229.09 |
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 $117.49 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $117.49 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Where West Virginia sits
The same service costs 3.3 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
$263
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.