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 Professional Modifier None (both parts) Typical Low $109.65 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $109.65 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $48.98 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $229.09 | Facility | None | $85.11 | $128.82 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $134.90 | $181.97 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $100.00 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $85.11 | $93.33 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $239.88 | Facility | None | $173.78 | $204.17 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $131.83 | $204.17 | $218.78 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $229.09 | Facility | None | $85.11 | $128.82 | $229.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $112.20 | $181.97 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $100.00 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $85.11 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $134.90 | $138.04 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $69.18 | $69.18 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $67.61 | $69.18 | $120.23 |
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 $54.95 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $54.95 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $21.88 | $47.86 | $47.86 |
Where Montana sits
The same service costs 4.5 times more in Alaska than in Florida. 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.
Montana· 11th of 51
$182
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.