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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $87.10 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $54.95 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $95.50 | $151.36 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $53.70 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $100.00 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $33.11 | $67.61 | $114.82 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $229.09 Typical High $245.47 | Facility | None | $67.61 | $229.09 | $245.47 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $95.50 | $158.49 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $53.70 | $74.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $100.00 | $138.04 |
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 $114.82 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $114.82 | $141.25 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $48.98 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $91.20 | $154.88 |
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 $43.65 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $43.65 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $17.78 | $28.84 | $28.84 |
Where New Mexico sits
The same service costs 4.6 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· 31st of 51
$138
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.