How much rates vary
Facilitymedian $1,549 · 10th to 90th $513 to $2,818Professionalmedian $339 · 10th to 90th $65 to $759
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 $275.42 Median $275.42 Typical High $1,548.82 | Facility | None | $275.42 | $275.42 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $275.42 | $630.96 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $64.57 | $144.54 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $416.87 Typical High $741.31 | Professional | TC · Technical part | $208.93 | $416.87 | $741.31 |
BCBS New Mexico Setting Facility Modifier None Typical Low $524.81 Median $1,862.09 Typical High $2,884.03 | Facility | None | $524.81 | $1,862.09 | $2,884.03 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $48.98 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $48.98 | $234.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $616.60 Typical High $831.76 | Professional | None (both parts) | $331.13 | $616.60 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $81.28 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $537.03 Typical High $724.44 | Professional | TC · Technical part | $263.03 | $537.03 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $33.11 | $263.03 | $398.11 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $691.83 Typical High $794.33 | Facility | None | $288.40 | $691.83 | $794.33 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $363.08 | $616.60 | $912.01 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $85.11 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $537.03 Typical High $724.44 | Professional | TC · Technical part | $288.40 | $537.03 | $724.44 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $338.84 | $512.86 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $63.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $724.44 | Professional | TC · Technical part | $275.42 | $446.68 | $724.44 |
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 $134.90 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $134.90 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $54.95 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 6.3 times more in Wyoming 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· 45th of 51
$363
WY $1,349UT $214
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.