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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $95.50 | $154.88 | $154.88 |
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 $54.95 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $54.95 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $112.20 | $316.23 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $70.79 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $66.07 | $245.47 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $33.11 | $75.86 | $125.89 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $549.54 Typical High $588.84 | Facility | None | $69.18 | $549.54 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $112.20 | $316.23 | $416.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $72.44 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $245.47 Typical High $331.13 | Professional | TC · Technical part | $66.07 | $245.47 | $331.13 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,754.23 | Facility | None | $1,230.27 | $1,230.27 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $144.54 | $281.84 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $165.96 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $165.96 | $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 $47.86 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $47.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $19.05 | $30.90 | $30.90 |
Where New Mexico sits
The same service costs 4.9 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· 32nd of 51
$182
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.