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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $21.38 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $12.88 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $13.49 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $48.98 | Professional | None (both parts) | $24.55 | $36.31 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $12.88 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $31.62 | Professional | TC · Technical part | $15.85 | $23.44 | $31.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $33.11 | Professional | None (both parts) | $12.02 | $12.02 | $33.11 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $40.74 | Facility | None | $33.11 | $38.90 | $40.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $24.55 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $24.55 | $37.15 | $50.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $13.18 | $17.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $31.62 | Professional | TC · Technical part | $15.85 | $23.44 | $31.62 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $107.15 | Professional | None (both parts) | $45.71 | $54.95 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.96 Typical High $21.38 | Professional | 26 · Professional part | $10.23 | $10.96 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $85.11 | Professional | TC · Technical part | $35.48 | $43.65 | $85.11 |
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 $10.47 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $10.47 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $4.27 | $7.08 | $7.08 |
Where New Mexico sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 37th of 51
$37.15
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.