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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $125.89 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $83.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $134.90 | $239.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $77.62 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $162.18 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $33.11 | $91.20 | $154.88 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $346.74 Typical High $354.81 | Facility | None | $93.33 | $346.74 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $134.90 | $239.88 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $77.62 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $77.62 | $162.18 | $223.87 |
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 $144.54 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $144.54 | $218.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $69.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $144.54 | $213.80 |
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 $63.10 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $63.10 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $40.74 | $40.74 |
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· 26th of 51
$204
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.