How much rates vary
Facilitymedian $309 · 10th to 90th $43 to $759Professionalmedian $32 · 10th to 90th $8 to $60
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 $26.30 Median $46.77 Typical High $269.15 | Facility | None | $26.30 | $46.77 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $26.30 | $42.66 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $6.61 | $10.96 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $31.62 | $53.70 |
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 $6.31 Median $24.55 Typical High $42.66 | Professional | None (both parts) | $6.31 | $24.55 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $58.88 | Professional | None (both parts) | $30.90 | $42.66 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.80 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $13.80 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $28.84 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $12.30 | $30.20 | $40.74 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $47.86 | Facility | None | $25.12 | $46.77 | $47.86 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $30.90 | $50.12 | $69.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.80 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $13.80 | $19.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $23.44 | $28.84 | $40.74 |
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 $34.67 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $34.67 | $36.31 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $12.02 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $25.70 | $50.12 |
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 $13.18 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $13.18 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.37 | $8.51 | $8.51 |
Where New Mexico sits
The same service costs 3.6 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· 47th of 51
$33.11
AK $105FL $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.