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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $13.80 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $6.61 | $11.75 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $12.02 Typical High $12.02 | Professional | TC · Technical part | $7.24 | $12.02 | $12.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $12.88 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $24.55 Typical High $28.84 | Facility | None | $23.99 | $24.55 | $28.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $33.88 | Professional | None (both parts) | $17.78 | $17.78 | $33.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Providence Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $162.18 | Facility | None | $74.13 | $74.13 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $26.30 Typical High $34.67 | Professional | None (both parts) | $18.62 | $26.30 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $14.45 | Professional | 26 · Professional part | $8.13 | $11.75 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $14.45 Typical High $19.95 | Professional | TC · Technical part | $10.47 | $14.45 | $19.95 |
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 $6.92 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $6.92 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $2.75 | $4.79 | $4.79 |
Where New Mexico sits
The same service costs 2.3 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· 22nd of 51
$23.99
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.