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 $346.74 Median $2,089.30 Typical High $8,912.51 | Facility | None | $346.74 | $2,089.30 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $346.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $138.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $208.93 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $478.63 | $562.34 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $234.42 Typical High $323.59 | Professional | 26 · Professional part | $194.98 | $234.42 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $467.74 | Professional | TC · Technical part | $275.42 | $338.84 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $33.11 | $251.19 | $549.54 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $676.08 | Facility | None | $489.78 | $630.96 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $489.78 | $562.34 | $794.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $234.42 Typical High $323.59 | Professional | 26 · Professional part | $199.53 | $234.42 | $323.59 |
Providence Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $467.74 | Professional | TC · Technical part | $275.42 | $338.84 | $467.74 |
United Setting Facility Modifier None Typical Low $229.09 Median $1,096.48 Typical High $15,488.17 | Facility | None | $229.09 | $1,096.48 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $676.08 Typical High $870.96 | Professional | None (both parts) | $478.63 | $676.08 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $257.04 Typical High $346.74 | Professional | 26 · Professional part | $177.83 | $257.04 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $309.03 | $416.87 | $524.81 |
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 $173.78 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $173.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $69.18 | $123.03 | $123.03 |
Where New Mexico sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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
$562
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.