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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $66.07 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $19.05 | $19.05 |
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 $66.07 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $66.07 | $79.43 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $12.88 | $18.62 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $50.12 | $61.66 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $66.07 Typical High $81.28 | Professional | None (both parts) | $18.20 | $66.07 | $81.28 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $77.62 | Facility | None | $46.77 | $64.57 | $77.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $72.44 | $93.33 | $165.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $12.88 | $18.62 | $25.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $57.54 | $63.10 | $95.50 |
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 $58.88 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $58.88 | $83.18 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $31.62 | Professional | 26 · Professional part | $15.14 | $16.22 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $43.65 | $67.61 | $131.83 |
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 $33.11 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $33.11 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $13.18 | $20.89 | $20.89 |
Where New Mexico sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 41st of 51
$79.43
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.