How much rates vary
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 Professional Modifier None (both parts) Typical Low $123.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $123.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $338.84 | Facility | None | $151.36 | $213.80 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $154.88 | $208.93 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $56.23 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $162.18 | Professional | TC · Technical part | $114.82 | $151.36 | $162.18 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $263.03 | Facility | None | $204.17 | $223.87 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $144.54 | $223.87 | $239.88 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $338.84 | Facility | None | $151.36 | $213.80 | $338.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $213.80 | Professional | None (both parts) | $128.82 | $208.93 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $56.23 | $58.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $151.36 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $144.54 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $114.82 | $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 $61.66 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $61.66 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $24.55 | $52.48 | $52.48 |
Where Montana sits
The same service costs 4.5 times more in Alaska than in Maryland. 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.
Montana· 9th of 51
$209
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.