How much rates vary
Facilitymedian $417 · 10th to 90th $56 to $759Professionalmedian $43 · 10th to 90th $13 to $74
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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $36.31 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $14.13 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $39.81 | $56.23 |
BCBS New Mexico Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $794.33 | Facility | None | $141.25 | $489.78 | $794.33 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $9.55 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $9.55 | $33.11 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $38.90 | $51.29 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $11.48 | $16.60 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $34.67 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $15.85 | $38.02 | $53.70 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $56.23 Typical High $60.26 | Facility | None | $32.36 | $56.23 | $60.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $41.69 | $60.26 | $91.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $11.48 | $16.60 | $22.39 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $36.31 | $48.98 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $457.09 | Facility | None | $204.17 | $204.17 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $46.77 Typical High $93.33 | Professional | None (both parts) | $42.66 | $46.77 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $14.45 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $33.11 | $64.57 |
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 $18.20 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $18.20 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $7.24 | $11.75 | $11.75 |
Where New Mexico sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 47th of 51
$42.66
AK $132UT $32.36
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.