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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $100.00 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $100.00 | $120.23 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $33.11 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $89.13 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $26.92 | $95.50 | $144.54 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $141.25 | Facility | None | $100.00 | $134.90 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $109.65 | $141.25 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $33.11 | $46.77 |
Providence Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $81.28 | $91.20 | $141.25 |
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 $97.72 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $97.72 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $30.20 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $100.00 | $186.21 |
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 $50.12 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $50.12 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.95 | $32.36 | $32.36 |
Where New Mexico sits
The same service costs 3.9 times more in Alaska than in New York. 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· 44th of 51
$120
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.