How much rates vary
Facilitymedian $275 · 10th to 90th $126 to $708Professionalmedian $240 · 10th to 90th $117 to $355
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $194.98 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
BCBS Setting Facility Modifier None Typical Low $131.83 Median $467.74 Typical High $724.44 | Facility | None | $131.83 | $467.74 | $724.44 |
BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $229.09 | Professional | None (both parts) | $79.43 | $93.33 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $194.98 | Facility | None | $112.20 | $131.83 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $199.53 | $239.88 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $117.49 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $131.83 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $33.11 | $144.54 | $245.47 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $257.04 | Facility | None | $117.49 | $158.49 | $257.04 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $213.80 | $245.47 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $117.49 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $131.83 | $213.80 |
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 $204.17 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $204.17 | $251.19 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $97.72 | $107.15 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $147.91 | $199.53 |
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 $97.72 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $97.72 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $38.90 | $63.10 | $63.10 |
Where New Mexico sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 32nd of 51
$240
AK $741TX $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.