How much rates vary
Facilitymedian $708 · 10th to 90th $145 to $1,288Professionalmedian $105 · 10th to 90th $49 to $174
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $77.62 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $43.65 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $75.86 | $75.86 |
BCBS New Mexico Setting Facility Modifier None Typical Low $239.88 Median $831.76 Typical High $1,318.26 | Facility | None | $239.88 | $831.76 | $1,318.26 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $38.02 Median $77.62 Typical High $204.17 | Professional | None (both parts) | $38.02 | $77.62 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $89.13 | $114.82 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $48.98 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $63.10 | $95.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $33.11 | $61.66 | $102.33 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $144.54 Typical High $147.91 | Facility | None | $60.26 | $144.54 | $147.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $95.50 | $128.82 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $48.98 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $57.54 | $63.10 | $93.33 |
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 $93.33 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $93.33 | $109.65 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $43.65 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $66.07 | $123.03 |
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 $38.90 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $38.90 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $25.12 | $25.12 |
Where New Mexico sits
The same service costs 4.4 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· 42nd of 51
$105
AK $324UT $74.13
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.