How much rates vary
Facilitymedian $851 · 10th to 90th $209 to $1,549Professionalmedian $123 · 10th to 90th $38 to $316
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 $114.82 Median $223.87 Typical High $1,023.29 | Facility | None | $114.82 | $223.87 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $114.82 | $208.93 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $66.07 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $79.43 | $141.25 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
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 $28.84 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $28.84 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $123.03 | $288.40 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $64.57 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $87.10 | $223.87 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $33.11 | $102.33 | $151.36 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $363.08 | Facility | None | $120.23 | $323.59 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $138.04 | $288.40 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $64.57 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $95.50 | $223.87 | $302.00 |
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 $120.23 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $120.23 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $47.86 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $165.96 | $257.04 |
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 $57.54 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $57.54 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $22.91 | $41.69 | $41.69 |
Where New Mexico sits
The same service costs 4.9 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
$123
AK $513UT $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.