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 $58.88 Median $58.88 Typical High $93.33 | Professional | None (both parts) | $58.88 | $58.88 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $17.78 | $17.78 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $41.69 | $41.69 | $69.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $123.03 Typical High $389.05 | Professional | None (both parts) | $60.26 | $123.03 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $89.13 | Professional | 26 · Professional part | $17.38 | $22.91 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $81.28 Typical High $331.13 | Professional | TC · Technical part | $42.66 | $81.28 | $331.13 |
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 $53.70 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $53.70 | $97.72 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $13.49 | $21.88 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $74.13 Typical High $173.78 | Professional | TC · Technical part | $38.02 | $74.13 | $173.78 |
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 $29.51 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $29.51 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $13.49 | Professional | 53 · Discontinued | $12.02 | $12.02 | $13.49 |
Where West Virginia sits
The same service costs 3.2 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· 32nd of 51
$79.43
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.