How much rates vary
Facilitymedian $1,445 · 10th to 90th $363 to $2,692Professionalmedian $245 · 10th to 90th $68 to $501
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 $204.17 Median $363.08 Typical High $1,023.29 | Facility | None | $204.17 | $363.08 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $204.17 | $363.08 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $117.49 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $134.90 | $234.42 | $457.09 |
BCBS New Mexico Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $2,754.23 | Facility | None | $501.19 | $1,778.28 | $2,754.23 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $54.95 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $54.95 | $154.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $213.80 | $416.87 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $85.11 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $331.13 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $33.11 | $177.83 | $263.03 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $467.74 Typical High $524.81 | Facility | None | $208.93 | $467.74 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $239.88 | $416.87 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $70.79 | $85.11 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $158.49 | $331.13 | $446.68 |
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 $213.80 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $213.80 | $338.84 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $70.79 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $263.03 | $398.11 |
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 $100.00 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $100.00 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $40.74 | $72.44 | $72.44 |
Where New Mexico sits
The same service costs 6.3 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· 47th of 51
$251
AK $851UT $135
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.