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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $87.10 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $100.00 | $147.91 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $53.70 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $95.50 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $33.11 | $40.74 | $40.74 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $288.40 | Facility | None | $162.18 | $162.18 | $288.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $100.00 | $147.91 | $199.53 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $53.70 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $95.50 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $263.03 | $281.84 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $44.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $213.80 | $234.42 | $331.13 |
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 $43.65 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $43.65 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $17.38 | $28.84 | $28.84 |
Where New Mexico sits
The same service costs 5.2 times more in North Dakota 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· 35th of 51
$148
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.