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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $158.49 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $117.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $41.69 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $218.78 | $323.59 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $309.03 | Professional | 26 · Professional part | $158.49 | $213.80 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $109.65 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $33.11 | $199.53 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $223.87 | $323.59 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $309.03 | Professional | 26 · Professional part | $158.49 | $213.80 | $309.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $109.65 | $158.49 |
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 $213.80 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $213.80 | $316.23 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $229.09 Typical High $331.13 | Professional | 26 · Professional part | $158.49 | $229.09 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $57.54 | $87.10 | $177.83 |
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 $79.43 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $79.43 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $31.62 | $53.70 | $53.70 |
Where New Mexico sits
The same service costs 3.5 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· 26th of 51
$275
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.