How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $331.13 Median $602.56 Typical High $1,548.82 | Facility | None | $331.13 | $602.56 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $645.65 Typical High $1,202.26 | Professional | None (both parts) | $331.13 | $645.65 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $79.43 | $144.54 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $478.63 Typical High $954.99 | Professional | TC · Technical part | $257.04 | $478.63 | $954.99 |
BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $4,466.84 | Facility | None | $794.33 | $2,884.03 | $4,466.84 |
BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $60.26 | $239.88 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $933.25 Typical High $1,258.93 | Professional | None (both parts) | $338.84 | $933.25 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $107.15 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $831.76 Typical High $1,122.02 | Professional | TC · Technical part | $257.04 | $831.76 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $33.11 | $389.05 | $501.19 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $1,202.26 Typical High $1,288.25 | Facility | None | $323.59 | $1,202.26 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $371.54 Median $933.25 Typical High $1,258.93 | Professional | None (both parts) | $371.54 | $933.25 | $1,258.93 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $107.15 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $831.76 Typical High $1,122.02 | Professional | TC · Technical part | $281.84 | $831.76 | $1,122.02 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,513.56 | Facility | None | $691.83 | $691.83 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $676.08 Typical High $1,174.90 | Professional | None (both parts) | $338.84 | $676.08 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $79.43 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $602.56 Typical High $1,047.13 | Professional | TC · Technical part | $257.04 | $602.56 | $1,047.13 |
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 $165.96 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $165.96 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $66.07 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.6 times more in Wyoming 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· 42nd of 51
$457
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.