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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $67.61 Typical High $102.33 | Professional | None (both parts) | $41.69 | $67.61 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $43.65 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $15.85 | $25.12 | $50.12 |
BCBS Setting Facility Modifier None Typical Low $144.54 Median $524.81 Typical High $812.83 | Facility | None | $144.54 | $524.81 | $812.83 |
BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $52.48 Typical High $107.15 | Professional | None (both parts) | $25.12 | $52.48 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $69.18 | $109.65 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $57.54 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $52.48 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $33.11 | $47.86 | $95.50 |
Providence Setting Facility Modifier None Typical Low $19.95 Median $144.54 Typical High $151.36 | Facility | None | $19.95 | $144.54 | $151.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $77.62 | $109.65 | $158.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $57.54 | $83.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $52.48 | $75.86 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $457.09 | Facility | None | $204.17 | $204.17 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $63.10 | $95.50 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $47.86 | $67.61 |
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 $20.89 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $20.89 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $8.32 | $13.80 | $13.80 |
Where New Mexico sits
The same service costs 3.8 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· 22nd of 51
$91.20
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.