How much rates vary
Facilitymedian $813 · 10th to 90th $372 to $1,549Professionalmedian $407 · 10th to 90th $81 to $871
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $371.54 Median $371.54 Typical High $1,548.82 | Facility | None | $371.54 | $371.54 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $707.95 Typical High $724.44 | Professional | None (both parts) | $371.54 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $144.54 Typical High $147.91 | Professional | 26 · Professional part | $75.86 | $144.54 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $562.34 Typical High $575.44 | Professional | TC · Technical part | $288.40 | $562.34 | $575.44 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $58.88 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $58.88 | $229.09 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $707.95 Typical High $933.25 | Professional | None (both parts) | $363.08 | $707.95 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $97.72 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $602.56 Typical High $812.83 | Professional | TC · Technical part | $288.40 | $602.56 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $323.59 Typical High $407.38 | Professional | None (both parts) | $33.11 | $323.59 | $407.38 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $812.83 Typical High $891.25 | Facility | None | $346.74 | $812.83 | $891.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $407.38 Median $707.95 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $707.95 | $1,023.29 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $102.33 | $144.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $602.56 Typical High $812.83 | Professional | TC · Technical part | $316.23 | $602.56 | $812.83 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,388.44 | Facility | None | $1,548.82 | $1,548.82 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $380.19 | $588.84 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $75.86 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $512.86 Typical High $794.33 | Professional | TC · Technical part | $302.00 | $512.86 | $794.33 |
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 $181.97 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $181.97 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $74.13 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.5 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· 47th of 51
$407
WY $1,514UT $275
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.