How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $28.18 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.77 Typical High $9.77 | Professional | 26 · Professional part | $5.75 | $9.77 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $35.48 | $35.48 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $6.76 Median $19.95 Typical High $50.12 | Professional | None (both parts) | $6.76 | $19.95 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $33.11 | $43.65 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $10.23 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $25.70 | $33.11 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.76 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $7.76 | $29.51 | $37.15 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $41.69 | Facility | None | $25.70 | $36.31 | $41.69 |
Providence Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $35.48 | $50.12 | $74.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $10.47 | $13.80 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $28.18 | $33.11 | $46.77 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $77.62 | Professional | None (both parts) | $30.90 | $39.81 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $8.13 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $31.62 | $63.10 |
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 3.6 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· 39th of 51
$38.90
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.