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 $181.97 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $181.97 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $134.90 Typical High $199.53 | Facility | None | $91.20 | $134.90 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $109.65 | $154.88 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $63.10 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $91.20 | $95.50 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $46.77 Median $147.91 Typical High $194.98 | Facility | None | $46.77 | $147.91 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $30.90 Median $61.66 Typical High $190.55 | Professional | None (both parts) | $30.90 | $61.66 | $190.55 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $134.90 Typical High $199.53 | Facility | None | $91.20 | $134.90 | $199.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $93.33 | $154.88 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $63.10 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $194.98 | $275.42 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $42.66 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $234.42 | $407.38 |
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 $91.20 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $91.20 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $36.31 | $95.50 | $95.50 |
Where Montana sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 34th of 51
$155
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.