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 $20.89 Median $34.67 Typical High $44.67 | Facility | None | $20.89 | $34.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $20.89 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.23 Typical High $11.75 | Professional | 26 · Professional part | $5.75 | $10.23 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $14.79 | $24.55 | $32.36 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $5.13 Median $16.98 Typical High $31.62 | Professional | None (both parts) | $5.13 | $16.98 | $31.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $45.71 | Professional | None (both parts) | $26.30 | $34.67 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $10.00 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $19.05 | $24.55 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $23.99 Typical High $33.88 | Professional | None (both parts) | $10.23 | $23.99 | $33.88 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $57.54 Typical High $61.66 | Facility | None | $53.70 | $57.54 | $61.66 |
Providence Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $48.98 | Professional | None (both parts) | $27.54 | $38.02 | $48.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.23 Typical High $12.59 | Professional | 26 · Professional part | $7.08 | $10.23 | $12.59 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $19.50 | $24.55 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $26.92 | $42.66 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.72 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $19.50 | $30.90 | $48.98 |
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 $10.23 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $10.23 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $4.17 | $6.92 | $6.92 |
Where New Mexico sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$33.11
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.