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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $169.82 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $10.72 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $81.28 | Professional | None (both parts) | $42.66 | $61.66 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $18.20 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $29.51 | $42.66 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $33.11 | Professional | None (both parts) | $14.45 | $14.45 | $33.11 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $66.07 Typical High $69.18 | Facility | None | $32.36 | $66.07 | $69.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $83.18 | Professional | None (both parts) | $42.66 | $61.66 | $83.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $18.20 | $24.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $30.20 | $42.66 | $57.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $50.12 | $245.47 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $15.14 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $234.42 Typical High $524.81 | Professional | TC · Technical part | $35.48 | $234.42 | $524.81 |
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 $85.11 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $53.70 | $53.70 |
Where New Mexico sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 47th of 51
$63.10
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.