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 $165.96 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $28.18 | $28.18 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $138.04 | $138.04 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $831.76 | Professional | None (both parts) | $131.83 | $190.55 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $138.04 | Professional | 26 · Professional part | $26.30 | $35.48 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $602.56 | Professional | TC · Technical part | $93.33 | $147.91 | $602.56 |
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 $81.28 Median $112.20 Typical High $245.47 | Professional | None (both parts) | $81.28 | $112.20 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $20.89 | $33.11 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $46.77 | $87.10 | $181.97 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Where West Virginia sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 36th of 51
$166
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.