How much rates vary
Facilitymedian $933 · 10th to 90th $120 to $1,479Professionalmedian $162 · 10th to 90th $26 to $251
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $120.23 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $33.88 | Professional | 26 · Professional part | $21.38 | $31.62 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $138.04 | $154.88 |
BCBS New Mexico Setting Facility Modifier None Typical Low $269.15 Median $977.24 Typical High $1,479.11 | Facility | None | $269.15 | $977.24 | $1,479.11 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $19.05 Median $64.57 Typical High $162.18 | Professional | None (both parts) | $19.05 | $64.57 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $154.88 | $199.53 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $34.67 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $169.82 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $33.11 | $208.93 | $245.47 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $141.25 | Facility | None | $69.18 | $109.65 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $154.88 | $199.53 | $288.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $37.15 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $239.88 | Professional | TC · Technical part | $125.89 | $169.82 | $239.88 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $933.25 | Facility | None | $426.58 | $426.58 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $120.23 | $194.98 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $38.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $87.10 | $147.91 | $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 $60.26 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $60.26 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $23.99 | $33.88 | $33.88 |
Where New Mexico sits
The same service costs 2.8 times more in Alaska 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· 33rd of 51
$162
AK $324KY $115
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.