How much rates vary
Facilitymedian $851 · 10th to 90th $240 to $1,549Professionalmedian $158 · 10th to 90th $58 to $398
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 $144.54 Median $275.42 Typical High $1,023.29 | Facility | None | $144.54 | $275.42 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $144.54 | $257.04 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $53.70 | $93.33 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $91.20 | $158.49 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
BCBS New Mexico Setting Facility Modifier None Typical Low $295.12 Median $1,047.13 Typical High $1,621.81 | Facility | None | $295.12 | $1,047.13 | $1,621.81 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $43.65 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $43.65 | $112.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $154.88 | $346.74 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $72.44 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $97.72 | $275.42 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $33.11 | $97.72 | $186.21 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $354.81 Typical High $416.87 | Facility | None | $147.91 | $354.81 | $416.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $173.78 | $346.74 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $75.86 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $107.15 | $275.42 | $371.54 |
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 $173.78 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $173.78 | $263.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $54.95 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $117.49 | $213.80 | $316.23 |
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 $72.44 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $72.44 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $28.84 | $51.29 | $51.29 |
Where New Mexico sits
The same service costs 6.2 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· 49th of 51
$162
AK $646UT $105
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.