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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $707.95 Typical High $776.25 | Professional | None (both parts) | $501.19 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $269.15 Typical High $281.84 | Professional | 26 · Professional part | $181.97 | $269.15 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $501.19 | Professional | TC · Technical part | $323.59 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $724.44 Typical High $977.24 | Professional | None (both parts) | $501.19 | $724.44 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $288.40 Typical High $398.11 | Professional | 26 · Professional part | $213.80 | $288.40 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $263.03 | $398.11 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $645.65 Typical High $954.99 | Professional | None (both parts) | $33.11 | $645.65 | $954.99 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $426.58 Typical High $489.78 | Facility | None | $316.23 | $426.58 | $489.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $501.19 Median $741.31 Typical High $1,096.48 | Professional | None (both parts) | $501.19 | $741.31 | $1,096.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $295.12 Typical High $398.11 | Professional | 26 · Professional part | $239.88 | $295.12 | $398.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $660.69 | Professional | TC · Technical part | $263.03 | $416.87 | $660.69 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,715.35 | Facility | None | $1,698.24 | $1,698.24 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $407.38 | $776.25 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $316.23 Typical High $478.63 | Professional | 26 · Professional part | $213.80 | $316.23 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $436.52 Typical High $776.25 | Professional | TC · Technical part | $165.96 | $436.52 | $776.25 |
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 $251.19 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $251.19 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $102.33 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 3.2 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· 24th of 51
$708
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.