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 $134.90 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | 26 · Professional part | $26.30 | $26.30 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $109.65 | $109.65 | $141.25 |
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $812.83 | Professional | None (both parts) | $138.04 | $204.17 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $141.25 | Professional | 26 · Professional part | $25.70 | $35.48 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $691.83 | Professional | TC · Technical part | $107.15 | $162.18 | $691.83 |
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 $79.43 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $79.43 | $109.65 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $21.38 | $34.67 | $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 $67.61 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | 53 · Discontinued | $26.92 | $26.92 | $33.11 |
Where West Virginia sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 42nd of 51
$151
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.