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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $74.13 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $22.39 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $60.26 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $77.62 | $100.00 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $22.91 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $77.62 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $74.13 Typical High $91.20 | Professional | None (both parts) | $17.38 | $74.13 | $91.20 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $104.71 | Facility | None | $64.57 | $91.20 | $104.71 |
Providence Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $83.18 | $117.49 | $186.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $22.91 | $30.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $77.62 | $109.65 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $79.43 | $93.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $19.05 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $74.13 | $147.91 |
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 $37.15 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $37.15 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $14.79 | $23.44 | $23.44 |
Where New Mexico sits
The same service costs 3.8 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· 40th of 51
$93.33
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.