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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.13 Median $8.71 Typical High $8.71 | Professional | None (both parts) | $5.13 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1.95 Median $3.47 Typical High $3.47 | Professional | 26 · Professional part | $1.95 | $3.47 | $3.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $5.25 Typical High $5.25 | Professional | TC · Technical part | $3.16 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.46 Median $11.75 Typical High $15.85 | Professional | None (both parts) | $6.46 | $11.75 | $15.85 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $3.24 Typical High $4.47 | Professional | 26 · Professional part | $2.29 | $3.24 | $4.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $8.51 Typical High $11.22 | Professional | TC · Technical part | $4.07 | $8.51 | $11.22 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.69 Median $4.27 Typical High $33.11 | Professional | None (both parts) | $2.69 | $4.27 | $33.11 |
Providence Setting Facility Modifier None Typical Low $4.07 Median $35.48 Typical High $36.31 | Facility | None | $4.07 | $35.48 | $36.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $6.46 Median $11.75 Typical High $16.22 | Professional | None (both parts) | $6.46 | $11.75 | $16.22 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $3.24 Typical High $4.47 | Professional | 26 · Professional part | $2.29 | $3.24 | $4.47 |
Providence Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $8.51 Typical High $10.72 | Professional | TC · Technical part | $4.07 | $8.51 | $10.72 |
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 $7.24 Median $11.48 Typical High $23.99 | Professional | None (both parts) | $7.24 | $11.48 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $2.88 Typical High $5.75 | Professional | 26 · Professional part | $2.69 | $2.88 | $5.75 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $7.24 Typical High $21.38 | Professional | TC · Technical part | $4.37 | $7.24 | $21.38 |
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 $2.51 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $2.51 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.00 | $1.74 | $1.74 |
Where New Mexico sits
The same service costs 4.2 times more in Kansas 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.
New Mexico· 26th of 51
$10.47
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.