How much rates vary
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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $37.15 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $15.14 | $24.55 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $93.33 | $134.90 |
BCBS New Mexico Setting Facility Modifier None Typical Low $239.88 Median $831.76 Typical High $1,318.26 | Facility | None | $239.88 | $831.76 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $100.00 | Professional | None (both parts) | $57.54 | $72.44 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $25.70 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $66.07 | Professional | TC · Technical part | $37.15 | $47.86 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $60.26 | $60.26 | $162.18 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $57.54 | $72.44 | $97.72 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
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 $21.88 Median $35.48 Typical High $51.29 | Professional | 52 · Reduced service | $21.88 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $14.13 Typical High $20.89 | Professional | 53 · Discontinued | $8.71 | $14.13 | $20.89 |
Where New Mexico sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 30th of 51
$85.11
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.