How much rates vary
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $128.82 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $51.29 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $162.18 | $208.93 |
BCBS Setting Facility Modifier None Typical Low $676.08 Median $2,398.83 Typical High $3,715.35 | Facility | None | $676.08 | $2,398.83 | $3,715.35 |
BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $29.51 | $104.71 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $141.25 | $181.97 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $48.98 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $131.83 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $33.11 | $162.18 | $213.80 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $181.97 | Facility | None | $117.49 | $162.18 | $181.97 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $141.25 | $194.98 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $50.12 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $100.00 | $131.83 | $173.78 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,071.52 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $144.54 | $204.17 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $52.48 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $154.88 | $239.88 |
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 $64.57 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $64.57 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $25.70 | $42.66 | $42.66 |
Where New Mexico sits
The same service costs 3.0 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· 32nd of 51
$174
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.