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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $112.20 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $40.74 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $134.90 | $257.04 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $69.18 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $194.98 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $33.11 | $100.00 | $154.88 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $549.54 Typical High $588.84 | Facility | None | $89.13 | $549.54 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $134.90 | $257.04 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $69.18 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $194.98 Typical High $251.19 | Professional | TC · Technical part | $89.13 | $194.98 | $251.19 |
United Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $13,803.84 | Facility | None | $6,165.95 | $6,165.95 | $13,803.84 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $165.96 | $269.15 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $58.88 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $107.15 | $177.83 | $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 $56.23 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $56.23 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $22.39 | $36.31 | $36.31 |
Where New Mexico sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 39th of 51
$186
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.