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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $77.62 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $36.31 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $91.20 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $21.88 | $45.71 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $19.50 Median $85.11 Typical High $181.97 | Professional | None (both parts) | $19.50 | $85.11 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $109.65 | $190.55 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $31.62 | $52.48 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $138.04 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $33.11 | $44.67 | $44.67 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $229.09 | Facility | None | $173.78 | $213.80 | $229.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $102.33 | $190.55 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $52.48 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $138.04 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $165.96 | $186.21 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $37.15 | $46.77 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $120.23 | $138.04 | $190.55 |
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 $38.90 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $38.90 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $15.49 | $25.70 | $25.70 |
Where New Mexico sits
The same service costs 4.2 times more in Nebraska 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· 33rd of 51
$166
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.