How much rates vary
Facilitymedian $269 · 10th to 90th $38 to $479Professionalmedian $33 · 10th to 90th $8 to $56
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 $28.18 Median $45.71 Typical High $64.57 | Facility | None | $28.18 | $45.71 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $77.62 | Professional | None (both parts) | $28.18 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.72 Typical High $18.20 | Professional | 26 · Professional part | $6.31 | $10.72 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $21.88 | $34.67 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
BCBS New Mexico Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $489.78 | Facility | None | $89.13 | $309.03 | $489.78 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $5.75 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $5.75 | $25.70 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $56.23 | Professional | None (both parts) | $30.90 | $38.02 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $10.00 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $28.18 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $10.00 | $33.11 | $42.66 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $38.02 Typical High $41.69 | Facility | None | $27.54 | $38.02 | $41.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $72.44 | Professional | None (both parts) | $32.36 | $44.67 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $10.00 | $13.80 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $40.74 | Professional | TC · Technical part | $25.70 | $29.51 | $40.74 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $72.44 | Professional | None (both parts) | $30.20 | $37.15 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.12 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $27.54 | $54.95 |
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 $14.13 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $14.13 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $5.62 | $9.12 | $9.12 |
Where New Mexico sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 45th of 51
$33.88
AK $112FL $28.84
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.