How much rates vary
Facilitymedian $1,738 · 10th to 90th $525 to $4,074Professionalmedian $316 · 10th to 90th $102 to $891
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 $309.03 Median $707.95 Typical High $1,548.82 | Facility | None | $309.03 | $707.95 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $309.03 | $602.56 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $100.00 | $144.54 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $416.87 Typical High $794.33 | Professional | TC · Technical part | $208.93 | $416.87 | $794.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
BCBS New Mexico Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $4,466.84 | Facility | None | $794.33 | $2,884.03 | $4,466.84 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $77.62 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $77.62 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $794.33 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $794.33 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $141.25 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $208.93 | $660.69 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $33.11 | $245.47 | $380.19 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $1,258.93 Typical High $1,288.25 | Facility | None | $295.12 | $1,258.93 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $346.74 Median $794.33 Typical High $1,071.52 | Professional | None (both parts) | $346.74 | $794.33 | $1,071.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $190.55 | Professional | 26 · Professional part | $100.00 | $141.25 | $190.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $229.09 | $660.69 | $891.25 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,513.56 | Facility | None | $691.83 | $691.83 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $316.23 | $616.60 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $102.33 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $213.80 | $457.09 | $812.83 |
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 $154.88 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $154.88 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $61.66 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 6.6 times more in Vermont 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
$339
VT $1,349UT $204
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.