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 $97.72 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $33.88 | $33.88 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $64.57 | $64.57 | $75.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $57.54 Typical High $125.89 | Professional | None (both parts) | $31.62 | $57.54 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $512.86 | Professional | None (both parts) | $81.28 | $128.82 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $165.96 | Professional | 26 · Professional part | $32.36 | $43.65 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $346.74 | Professional | TC · Technical part | $53.70 | $75.86 | $346.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $269.15 | Facility | None | $245.47 | $245.47 | $269.15 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $44.67 | $75.86 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $40.74 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $36.31 Typical High $57.54 | Professional | TC · Technical part | $17.38 | $36.31 | $57.54 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Where West Virginia sits
The same service costs 3.5 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· 37th of 51
$97.72
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.