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 $489.78 Median $489.78 Typical High $1,548.82 | Facility | None | $489.78 | $489.78 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $489.78 | $707.95 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $144.54 Typical High $501.19 | Professional | 26 · Professional part | $141.25 | $144.54 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $562.34 Typical High $870.96 | Professional | TC · Technical part | $436.52 | $562.34 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,862.09 Typical High $2,511.89 | Professional | None (both parts) | $1,174.90 | $1,862.09 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $213.80 Typical High $288.40 | Professional | 26 · Professional part | $131.83 | $213.80 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,659.59 Typical High $2,187.76 | Professional | TC · Technical part | $1,047.13 | $1,659.59 | $2,187.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $33.11 | $158.49 | $158.49 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $1,737.80 Typical High $2,951.21 | Facility | None | $151.36 | $1,737.80 | $2,951.21 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,905.46 Typical High $2,570.40 | Professional | None (both parts) | $1,174.90 | $1,905.46 | $2,570.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $218.78 Typical High $288.40 | Professional | 26 · Professional part | $131.83 | $218.78 | $288.40 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,659.59 Typical High $2,187.76 | Professional | TC · Technical part | $1,071.52 | $1,659.59 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,071.52 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $549.54 Typical High $1,202.26 | Professional | None (both parts) | $316.23 | $549.54 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $323.59 | Professional | 26 · Professional part | $120.23 | $147.91 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $407.38 Typical High $954.99 | Professional | TC · Technical part | $177.83 | $407.38 | $954.99 |
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 $245.47 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $245.47 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $141.25 Typical High $154.88 | Professional | 53 · Discontinued | $97.72 | $141.25 | $154.88 |
Where New Mexico sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 10th of 51
$1,175
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.