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 $204.17 Median $204.17 Typical High $1,548.82 | Facility | None | $204.17 | $204.17 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $204.17 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $512.86 | Professional | 26 · Professional part | $144.54 | $144.54 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $562.34 | $562.34 |
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 $1,148.15 Median $1,737.80 Typical High $2,290.87 | Professional | None (both parts) | $1,148.15 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $263.03 | Professional | 26 · Professional part | $131.83 | $194.98 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,548.82 Typical High $2,041.74 | Professional | TC · Technical part | $1,023.29 | $1,548.82 | $2,041.74 |
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 $154.88 Median $1,905.46 Typical High $2,951.21 | Facility | None | $154.88 | $1,905.46 | $2,951.21 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,737.80 Typical High $2,398.83 | Professional | None (both parts) | $1,202.26 | $1,737.80 | $2,398.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $194.98 Typical High $263.03 | Professional | 26 · Professional part | $134.90 | $194.98 | $263.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,548.82 Typical High $2,041.74 | Professional | TC · Technical part | $1,071.52 | $1,548.82 | $2,041.74 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $295.12 | $380.19 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $331.13 | Professional | 26 · Professional part | $134.90 | $147.91 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $154.88 | $229.09 | $467.74 |
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 $102.33 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $102.33 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $40.74 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 9th of 51
$1,096
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.