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 $575.44 Median $575.44 Typical High $660.69 | Professional | None (both parts) | $575.44 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | 26 · Professional part | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | TC · Technical part | $354.81 | $354.81 | $436.52 |
CareSource Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $891.25 Typical High $3,715.35 | Professional | None (both parts) | $588.84 | $891.25 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $281.84 Typical High $1,096.48 | Professional | 26 · Professional part | $208.93 | $281.84 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $562.34 Typical High $2,570.40 | Professional | TC · Technical part | $398.11 | $562.34 | $2,570.40 |
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 $302.00 Median $478.63 Typical High $851.14 | Professional | None (both parts) | $302.00 | $478.63 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $257.04 Typical High $501.19 | Professional | 26 · Professional part | $162.18 | $257.04 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $91.20 | $218.78 | $371.54 |
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 $288.40 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $128.82 |
Where West Virginia sits
The same service costs 3.2 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· 36th of 51
$617
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.