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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $33.88 | $54.95 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $16.60 | $27.54 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $17.78 | $28.18 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $54.95 | $79.43 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $33.11 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $29.51 | $46.77 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $26.92 | $41.69 | $72.44 |
Providence Setting Facility Modifier None Typical Low $22.39 Median $95.50 Typical High $95.50 | Facility | None | $22.39 | $95.50 | $95.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $54.95 | $83.18 | $117.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $34.67 | $47.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $46.77 | $67.61 |
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 $48.98 Median $66.07 Typical High $102.33 | Professional | None (both parts) | $48.98 | $66.07 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $27.54 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $38.90 | $57.54 |
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 $16.98 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $16.98 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $6.92 | $11.22 | $11.22 |
Where New Mexico sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 23rd of 51
$69.18
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.