How much rates vary
Facilitymedian $269 · 10th to 90th $39 to $479Professionalmedian $29 · 10th to 90th $8 to $50
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 $23.99 Median $23.99 Typical High $38.90 | Facility | None | $23.99 | $23.99 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $23.99 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $6.31 | $8.91 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $17.78 | $28.18 | $46.77 |
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 $6.03 Median $21.88 Typical High $35.48 | Professional | None (both parts) | $6.03 | $21.88 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $27.54 | $36.31 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $7.08 | $10.47 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $19.95 | $25.70 | $36.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $26.30 Typical High $36.31 | Professional | None (both parts) | $10.00 | $26.30 | $36.31 |
Providence Setting Facility Modifier None Typical Low $22.39 Median $40.74 Typical High $41.69 | Facility | None | $22.39 | $40.74 | $41.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.18 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $28.18 | $41.69 | $61.66 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $10.47 | $13.80 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $20.89 | $25.70 | $36.31 |
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 $28.84 Median $31.62 Typical High $61.66 | Professional | None (both parts) | $28.84 | $31.62 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $9.12 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $43.65 | Professional | TC · Technical part | $20.42 | $22.91 | $43.65 |
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 $12.02 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $12.02 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.79 | $7.76 | $7.76 |
Where New Mexico sits
The same service costs 3.5 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· 49th of 51
$30.20
AK $87.10FL $25.12
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.