How much rates vary
Facilitymedian $407 · 10th to 90th $110 to $741Professionalmedian $74 · 10th to 90th $27 to $117
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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $97.72 | Professional | None (both parts) | $52.48 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $51.29 | $51.29 |
BCBS Setting Facility Modifier None Typical Low $138.04 Median $467.74 Typical High $758.58 | Facility | None | $138.04 | $467.74 | $758.58 |
BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $47.86 Typical High $112.20 | Professional | None (both parts) | $19.50 | $47.86 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $56.23 | $83.18 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $33.88 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $33.11 | $47.86 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $117.49 | Professional | None (both parts) | $33.11 | $75.86 | $117.49 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $109.65 Typical High $114.82 | Facility | None | $40.74 | $109.65 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $56.23 | $89.13 | $128.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $34.67 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $46.77 | $61.66 |
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 $69.18 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $69.18 | $75.86 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $29.51 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $46.77 | $89.13 |
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 $26.30 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $26.30 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $10.47 | $16.98 | $16.98 |
Where New Mexico sits
The same service costs 4.4 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· 39th of 51
$74.13
AK $214UT $48.98
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.