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 $141.25 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $141.25 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $85.11 | $85.11 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | TC · Technical part | $57.54 | $57.54 | $70.79 |
CareSource Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $741.31 | Professional | None (both parts) | $141.25 | $177.83 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $426.58 | Professional | 26 · Professional part | $83.18 | $107.15 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $323.59 | Professional | TC · Technical part | $57.54 | $70.79 | $323.59 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | TC · Technical part | $467.74 | $467.74 | $467.74 |
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 $117.49 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $117.49 | $190.55 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $69.18 | $112.20 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $48.98 | $81.28 | $131.83 |
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 $70.79 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $70.79 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $28.18 | $29.51 |
Where West Virginia sits
The same service costs 3.6 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· 37th 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.