How much rates vary
Facilitymedian $275 · 10th to 90th $45 to $479Professionalmedian $31 · 10th to 90th $10 to $55
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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $25.12 | $40.74 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $7.08 | $12.02 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.84 Typical High $48.98 | Professional | TC · Technical part | $18.20 | $28.84 | $48.98 |
BCBS New Mexico Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $489.78 | Facility | None | $89.13 | $309.03 | $489.78 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $6.76 Median $22.91 Typical High $37.15 | Professional | None (both parts) | $6.76 | $22.91 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $51.29 | Professional | None (both parts) | $28.18 | $37.15 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $11.75 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $19.50 | $25.70 | $36.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.22 Median $26.92 Typical High $38.02 | Professional | None (both parts) | $11.22 | $26.92 | $38.02 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $44.67 Typical High $45.71 | Facility | None | $22.91 | $44.67 | $45.71 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $28.84 | $43.65 | $64.57 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $11.75 | $16.22 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $20.89 | $25.70 | $36.31 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $31.62 | $33.11 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $10.47 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $21.88 | $22.91 | $44.67 |
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 $12.59 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $12.59 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.01 | $8.13 | $8.13 |
Where New Mexico sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 46th of 51
$32.36
AK $95.50FL $26.92
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.