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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $22.91 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $10.00 | $17.38 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $13.18 | $21.88 | $21.88 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $8.91 Median $21.88 Typical High $41.69 | Professional | None (both parts) | $8.91 | $21.88 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $31.62 | $38.90 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $14.13 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $17.78 | $24.55 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $25.70 Typical High $43.65 | Professional | None (both parts) | $17.78 | $25.70 | $43.65 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $69.18 | Facility | None | $60.26 | $66.07 | $69.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $33.11 | $38.90 | $53.70 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $14.13 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $24.55 | $33.88 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $257.04 | Facility | None | $114.82 | $114.82 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $33.88 | $45.71 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $12.59 | $17.78 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $26.92 | $44.67 |
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 $11.48 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $11.48 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.68 | $7.76 | $7.76 |
Where New Mexico sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 30th of 51
$38.90
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.