How much rates vary
Facilitymedian $1,096 · 10th to 90th $407 to $2,630Professionalmedian $269 · 10th to 90th $81 to $631
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 $208.93 Median $407.38 Typical High $1,023.29 | Facility | None | $208.93 | $407.38 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $229.09 | $407.38 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $75.86 | $141.25 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $269.15 | $457.09 |
BCBS New Mexico Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $2,818.38 | Facility | None | $512.86 | $1,819.70 | $2,818.38 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $61.66 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $61.66 | $199.53 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $275.42 | $524.81 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $109.65 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $190.55 | $416.87 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $33.11 | $229.09 | $331.13 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $707.95 Typical High $724.44 | Facility | None | $245.47 | $707.95 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $302.00 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $302.00 | $524.81 | $776.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $112.20 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $416.87 | $562.34 |
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 $263.03 Median $436.52 Typical High $691.83 | Professional | None (both parts) | $263.03 | $436.52 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $83.18 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $346.74 | $524.81 |
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 $114.82 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $114.82 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $45.71 | $81.28 | $81.28 |
Where New Mexico sits
The same service costs 12.3 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· 48th of 51
$269
VT $2,089UT $170
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.