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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $79.43 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $31.62 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $46.77 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $93.33 | $125.89 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $50.12 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $77.62 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $33.11 | $54.95 | $54.95 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $134.90 | Facility | None | $112.20 | $131.83 | $134.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $107.15 | $131.83 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $52.48 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $79.43 | $104.71 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,621.81 | Facility | None | $741.31 | $741.31 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $89.13 | $229.09 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $56.23 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $169.82 Typical High $380.19 | Professional | TC · Technical part | $36.31 | $169.82 | $380.19 |
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 $39.81 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $39.81 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $22.39 | $22.39 |
Where New Mexico sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$112
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.