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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $12.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $6.61 | $11.75 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $6.17 | $10.23 | $10.23 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $5.75 Median $11.22 Typical High $22.91 | Professional | None (both parts) | $5.75 | $11.22 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $18.62 Typical High $26.30 | Professional | None (both parts) | $16.22 | $18.62 | $26.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $8.13 | $9.33 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $9.33 Typical High $13.18 | Professional | TC · Technical part | $8.13 | $9.33 | $13.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.72 Median $11.48 Typical High $33.11 | Professional | None (both parts) | $10.72 | $11.48 | $33.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.22 Median $19.05 Typical High $27.54 | Professional | None (both parts) | $16.22 | $19.05 | $27.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $8.13 | $9.33 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $9.33 Typical High $13.18 | Professional | TC · Technical part | $8.13 | $9.33 | $13.18 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $125.89 | Facility | None | $56.23 | $56.23 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $22.91 Typical High $30.90 | Professional | None (both parts) | $16.98 | $22.91 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $12.02 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $11.22 Typical High $15.49 | Professional | TC · Technical part | $8.71 | $11.22 | $15.49 |
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 $6.31 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $6.31 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $2.51 | $4.37 | $4.37 |
Where New Mexico sits
The same service costs 2.7 times more in Minnesota 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· 27th of 51
$19.50
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.