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 $79.43 Median $79.43 Typical High $83.18 | Professional | None (both parts) | $79.43 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | TC · Technical part | $47.86 | $47.86 | $50.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $416.87 | Professional | None (both parts) | $74.13 | $104.71 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $151.36 | Professional | 26 · Professional part | $29.51 | $39.81 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $257.04 | Professional | TC · Technical part | $40.74 | $61.66 | $257.04 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $51.29 | $77.62 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $36.31 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $28.18 | $41.69 | $70.79 |
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 $38.90 Median $38.90 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.60 |
Where West Virginia sits
The same service costs 3.0 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· 44th 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.