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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $64.57 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $19.50 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $44.67 | $70.79 | $70.79 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $21.38 Median $56.23 Typical High $181.97 | Professional | None (both parts) | $21.38 | $56.23 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $138.04 | Professional | None (both parts) | $67.61 | $100.00 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $33.11 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $45.71 | $64.57 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $27.54 | $53.70 | $79.43 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $125.89 Typical High $131.83 | Facility | None | $56.23 | $125.89 | $131.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $70.79 | $114.82 | $162.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $33.88 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $50.12 | $64.57 | $89.13 |
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 $79.43 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $79.43 | $85.11 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $27.54 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $57.54 | $107.15 |
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 $32.36 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $32.36 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $12.88 | $20.89 | $20.89 |
Where New Mexico sits
The same service costs 3.7 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· 45th of 51
$83.18
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.