How much rates vary
Facilitymedian $275 · 10th to 90th $35 to $479Professionalmedian $19 · 10th to 90th $9 to $33
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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $21.88 Typical High $34.67 | Professional | None (both parts) | $13.18 | $21.88 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $7.41 | $12.30 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $9.55 Typical High $17.78 | Professional | TC · Technical part | $5.89 | $9.55 | $17.78 |
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 $6.92 Median $12.88 Typical High $23.44 | Professional | None (both parts) | $6.92 | $12.88 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $25.12 Typical High $33.88 | Professional | None (both parts) | $16.22 | $25.12 | $33.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $12.59 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $12.30 Typical High $16.98 | Professional | TC · Technical part | $7.59 | $12.30 | $16.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.13 Median $11.48 Typical High $33.11 | Professional | None (both parts) | $8.13 | $11.48 | $33.11 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $35.48 Typical High $38.02 | Facility | None | $7.59 | $35.48 | $38.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.22 Median $26.30 Typical High $38.90 | Professional | None (both parts) | $16.22 | $26.30 | $38.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $12.59 | $17.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $12.30 Typical High $16.98 | Professional | TC · Technical part | $7.59 | $12.30 | $16.98 |
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 $19.50 Median $21.88 Typical High $43.65 | Professional | None (both parts) | $19.50 | $21.88 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $21.38 | Professional | 26 · Professional part | $9.77 | $10.72 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $12.30 Typical High $19.95 | Professional | TC · Technical part | $8.71 | $12.30 | $19.95 |
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 $6.61 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $6.61 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $2.63 | $4.37 | $4.37 |
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· 42nd of 51
$20.89
AK $56.23FL $15.49
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.