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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $100.00 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $83.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $120.23 | $251.19 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $85.11 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $64.57 | $165.96 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $33.11 | $77.62 | $141.25 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $575.44 Typical High $602.56 | Facility | None | $66.07 | $575.44 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $120.23 | $251.19 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $85.11 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $64.57 | $165.96 | $223.87 |
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 $151.36 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $151.36 | $245.47 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $72.44 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $141.25 | $316.23 |
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 $50.12 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $50.12 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $19.95 | $33.11 | $33.11 |
Where New Mexico sits
The same service costs 4.7 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· 35th of 51
$174
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.