How much rates vary
Facilitymedian $1,995 · 10th to 90th $355 to $3,162Professionalmedian $355 · 10th to 90th $39 to $3,311
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 Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $3,311.31 Typical High $3,388.44 | Professional | None (both parts) | $776.25 | $3,311.31 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $48.98 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $3,311.31 Typical High $3,311.31 | Professional | TC · Technical part | $776.25 | $3,311.31 | $3,311.31 |
BCBS New Mexico Setting Facility Modifier None Typical Low $562.34 Median $2,041.74 Typical High $3,090.30 | Facility | None | $562.34 | $2,041.74 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $218.78 | $316.23 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $48.98 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $269.15 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $33.11 | $38.90 | $38.90 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $371.54 | Facility | None | $204.17 | $354.81 | $371.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $354.81 Typical High $2,238,721.14 | Professional | None (both parts) | $218.78 | $354.81 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $48.98 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $269.15 | $354.81 |
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 $263.03 Median $831.76 Typical High $3,467.37 | Professional | None (both parts) | $263.03 | $831.76 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $41.69 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $741.31 Typical High $3,388.44 | Professional | TC · Technical part | $223.87 | $741.31 | $3,388.44 |
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 $1,047.13 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,047.13 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $660.69 Typical High $676.08 | Professional | 53 · Discontinued | $416.87 | $660.69 | $676.08 |
Where New Mexico sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 43rd of 51
$355
CO $3,715NJ $245
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.