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 $501.19 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $501.19 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 26 · Professional part | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | TC · Technical part | $380.19 | $380.19 | $478.63 |
CareSource Setting Professional Modifier None (both parts) Typical Low $109.65 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $109.65 | $371.54 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $630.96 Typical High $2,818.38 | Professional | None (both parts) | $489.78 | $630.96 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $562.34 | Professional | 26 · Professional part | $112.20 | $141.25 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $489.78 Typical High $2,290.87 | Professional | TC · Technical part | $371.54 | $489.78 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $380.19 | $616.60 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $151.36 Typical High $288.40 | Professional | 26 · Professional part | $91.20 | $151.36 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $467.74 Typical High $741.31 | Professional | TC · Technical part | $295.12 | $467.74 | $741.31 |
3 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 $245.47 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $100.00 | $100.00 | $109.65 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | 59 · Distinct service | $3,630.78 | $3,630.78 | $3,630.78 |
Where West Virginia sits
The same service costs 3.1 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· 45th of 51
$501
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.