How much rates vary
Facilitymedian $288 · 10th to 90th $91 to $501Professionalmedian $81 · 10th to 90th $29 to $138
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 $60.26 Median $107.15 Typical High $144.54 | Facility | None | $60.26 | $107.15 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $60.26 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $37.15 | $58.88 | $89.13 |
BCBS Setting Facility Modifier None Typical Low $93.33 Median $338.84 Typical High $512.86 | Facility | None | $93.33 | $338.84 | $512.86 |
BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $21.88 | $56.23 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $70.79 | $104.71 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $38.02 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $67.61 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $33.11 | $64.57 | $107.15 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $114.82 Typical High $123.03 | Facility | None | $46.77 | $114.82 | $123.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $70.79 | $114.82 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $38.90 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $67.61 | $93.33 |
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 $85.11 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $85.11 | $91.20 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $33.11 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $58.88 | $102.33 |
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 $30.20 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $30.20 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $12.02 | $19.95 | $19.95 |
Where New Mexico sits
The same service costs 3.6 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· 40th of 51
$85.11
AK $245TX $67.61
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.