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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $128.82 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $131.83 | $169.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $70.79 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $100.00 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $33.11 | $102.33 | $158.49 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $181.97 | Facility | None | $107.15 | $158.49 | $181.97 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $141.25 | $199.53 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $70.79 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $100.00 | $151.36 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,388.44 | Facility | None | $1,548.82 | $1,548.82 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $134.90 | $165.96 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $61.66 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $75.86 | $104.71 | $208.93 |
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 $63.10 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $63.10 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $25.70 | $41.69 | $41.69 |
Where New Mexico sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 37th of 51
$166
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.