How much rates vary
Facilitymedian $417 · 10th to 90th $63 to $759Professionalmedian $48 · 10th to 90th $12 to $85
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 $39.81 Median $69.18 Typical High $95.50 | Facility | None | $39.81 | $69.18 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $39.81 | $63.10 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.60 Typical High $28.18 | Professional | 26 · Professional part | $10.00 | $16.60 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $46.77 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
BCBS New Mexico Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $794.33 | Facility | None | $141.25 | $489.78 | $794.33 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $9.12 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $9.12 | $36.31 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $45.71 | $61.66 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.20 Typical High $25.12 | Professional | 26 · Professional part | $11.22 | $18.20 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $61.66 | Professional | TC · Technical part | $33.11 | $42.66 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $15.49 | $44.67 | $60.26 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $64.57 Typical High $69.18 | Facility | None | $37.15 | $64.57 | $69.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $46.77 Median $72.44 Typical High $102.33 | Professional | None (both parts) | $46.77 | $72.44 | $102.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $11.22 | $18.62 | $25.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $35.48 | $42.66 | $60.26 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $457.09 | Facility | None | $204.17 | $204.17 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $50.12 | $53.70 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $28.18 | Professional | 26 · Professional part | $14.13 | $15.49 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $37.15 | $72.44 |
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 $19.95 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $19.95 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.94 | $12.59 | $12.59 |
Where New Mexico sits
The same service costs 4.8 times more in Alaska 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
$47.86
AK $158UT $33.11
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.