How much rates vary
Facilitymedian $851 · 10th to 90th $219 to $1,549Professionalmedian $151 · 10th to 90th $58 to $339
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 $125.89 Median $263.03 Typical High $1,023.29 | Facility | None | $125.89 | $263.03 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $134.90 | $245.47 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $83.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $144.54 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
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 $43.65 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $43.65 | $107.15 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $144.54 | $281.84 | $380.19 |
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 $89.13 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $89.13 | $213.80 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $33.11 | $104.71 | $177.83 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $363.08 | Facility | None | $141.25 | $331.13 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $162.18 | $281.84 | $416.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $75.86 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $97.72 | $213.80 | $288.40 |
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 $141.25 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $141.25 | $234.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $56.23 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $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 $67.61 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $67.61 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $27.54 | $48.98 | $48.98 |
Where New Mexico sits
The same service costs 5.8 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· 48th of 51
$158
AK $603UT $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.