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 Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $45.71 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | TC · Technical part | $22.39 | $22.39 | $22.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $50.12 | $60.26 | $85.11 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $125.89 | Facility | None | $56.23 | $56.23 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $45.71 | $60.26 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $39.81 | Professional | 26 · Professional part | $22.39 | $29.51 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $23.44 | $30.90 | $41.69 |
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 $22.91 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.33 |
Where New Mexico sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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.
New Mexico· 20th of 51
$56.23
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.