How much rates vary
Facilitymedian $661 · 10th to 90th $54 to $1,175Professionalmedian $15 · 10th to 90th $12 to $40
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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $13.80 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $11.22 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $4.17 Typical High $4.17 | Professional | TC · Technical part | $2.88 | $4.17 | $4.17 |
BCBS New Mexico Setting Facility Modifier None Typical Low $213.80 Median $741.31 Typical High $1,174.90 | Facility | None | $213.80 | $741.31 | $1,174.90 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $9.33 Median $12.30 Typical High $15.49 | Professional | None (both parts) | $9.33 | $12.30 | $15.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $12.02 | $33.11 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $12.59 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.66 Median $21.38 Typical High $25.70 | Professional | TC · Technical part | $1.66 | $21.38 | $25.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.01 Median $23.44 Typical High $70.79 | Professional | None (both parts) | $5.01 | $23.44 | $70.79 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $58.88 | Facility | None | $39.81 | $53.70 | $58.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.02 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $12.02 | $33.11 | $43.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $12.59 | $19.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1.66 Median $21.38 Typical High $25.70 | Professional | TC · Technical part | $1.66 | $21.38 | $25.70 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $933.25 | Facility | None | $426.58 | $426.58 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $16.22 | $29.51 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $11.48 | $14.79 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $16.60 Typical High $37.15 | Professional | TC · Technical part | $2.75 | $16.60 | $37.15 |
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 $6.76 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $6.76 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $2.75 | $3.98 | $3.98 |
Where New Mexico sits
The same service costs 2.6 times more in California than in New York. 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· 50th of 51
$15.49
CA $38.02NY $14.45
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.