How much rates vary
Facilitymedian $1,148 · 10th to 90th $245 to $2,399Professionalmedian $151 · 10th to 90th $50 to $380
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 $138.04 Median $263.03 Typical High $1,023.29 | Facility | None | $138.04 | $263.03 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $138.04 | $245.47 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $83.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $158.49 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
BCBS New Mexico Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $2,454.71 | Facility | None | $446.68 | $1,584.89 | $2,454.71 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $38.02 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $38.02 | $107.15 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $147.91 | $346.74 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $74.13 | $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 $95.50 Typical High $177.83 | Professional | None (both parts) | $33.11 | $95.50 | $177.83 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $389.05 Typical High $436.52 | Facility | None | $144.54 | $389.05 | $436.52 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $165.96 | $346.74 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $77.62 | $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 $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $144.54 | $269.15 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $56.23 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $204.17 | $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 $69.18 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $69.18 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $27.54 | $48.98 | $51.29 |
Where New Mexico sits
The same service costs 5.9 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
$151
AK $617UT $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.