How much rates vary
Facilitymedian $417 · 10th to 90th $54 to $759Professionalmedian $44 · 10th to 90th $17 to $78
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 $33.11 Median $75.86 Typical High $120.23 | Facility | None | $33.11 | $75.86 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $81.28 | Professional | None (both parts) | $33.11 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.98 Typical High $30.20 | Professional | 26 · Professional part | $10.23 | $16.98 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $74.13 | Professional | TC · Technical part | $23.44 | $37.15 | $74.13 |
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 $30.90 Typical High $51.29 | Professional | None (both parts) | $9.55 | $30.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $75.86 | Professional | None (both parts) | $38.90 | $54.95 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.05 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $19.05 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $35.48 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $17.78 | $34.67 | $50.12 |
Providence Setting Facility Modifier None Typical Low $29.51 Median $66.07 Typical High $67.61 | Facility | None | $29.51 | $66.07 | $67.61 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.90 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $38.90 | $61.66 | $87.10 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.50 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $19.50 | $26.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $35.48 | $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 $44.67 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $44.67 | $47.86 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $30.20 | Professional | 26 · Professional part | $14.79 | $16.60 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $29.51 | $31.62 | $61.66 |
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 $16.60 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $16.60 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $6.61 | $10.72 | $10.72 |
Where New Mexico sits
The same service costs 4.0 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
$44.67
AK $132UT $33.11
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.