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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $87.10 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $112.20 | $128.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $67.61 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $53.70 | $63.10 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $154.88 | Professional | None (both parts) | $33.11 | $77.62 | $154.88 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $165.96 | Facility | None | $109.65 | $147.91 | $165.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $112.20 | $131.83 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $67.61 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $87.10 | Professional | TC · Technical part | $53.70 | $64.57 | $87.10 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,949.84 | Facility | None | $870.96 | $870.96 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $117.49 | $154.88 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $81.28 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $74.13 | $100.00 |
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 $43.65 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $43.65 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $17.38 | $30.20 | $30.20 |
Where New Mexico sits
The same service costs 3.8 times more in Minnesota 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· 28th of 51
$132
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.