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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $125.89 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $151.36 | $302.00 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $79.43 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $100.00 | $223.87 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $33.11 | $104.71 | $165.96 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $562.34 Typical High $616.60 | Facility | None | $100.00 | $562.34 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $151.36 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $151.36 | $302.00 | $426.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $79.43 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $100.00 | $223.87 | $302.00 |
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 $177.83 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $177.83 | $295.12 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $67.61 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $194.98 | $354.81 |
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 $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $61.66 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $40.74 | $40.74 |
Where New Mexico sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 38th 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.