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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $741.31 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $630.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,174.90 Typical High $1,548.82 | Professional | None (both parts) | $912.01 | $1,174.90 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $204.17 | Professional | 26 · Professional part | $117.49 | $154.88 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,023.29 Typical High $1,348.96 | Professional | TC · Technical part | $794.33 | $1,023.29 | $1,348.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,258.93 Typical High $1,862.09 | Professional | None (both parts) | $933.25 | $1,258.93 | $1,862.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $125.89 | $165.96 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,047.13 Typical High $1,348.96 | Professional | TC · Technical part | $812.83 | $1,047.13 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,073.80 | Facility | None | $1,819.70 | $1,819.70 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,412.54 Typical High $2,041.74 | Professional | None (both parts) | $977.24 | $1,412.54 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $177.83 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,230.27 Typical High $1,778.28 | Professional | TC · Technical part | $851.14 | $1,230.27 | $1,778.28 |
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 $363.08 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $363.08 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $147.91 | $199.53 | $199.53 |
Where New Mexico sits
The same service costs 3.2 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· 18th of 51
$1,230
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.