How much rates vary
Facilitymedian $331 · 10th to 90th $48 to $759Professionalmedian $35 · 10th to 90th $10 to $62
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 $29.51 Median $52.48 Typical High $331.13 | Facility | None | $29.51 | $52.48 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $29.51 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.49 Typical High $20.89 | Professional | 26 · Professional part | $8.13 | $13.49 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $33.88 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.88 Typical High $47.86 | Professional | None (both parts) | $22.91 | $33.88 | $47.86 |
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 $7.76 Median $27.54 Typical High $41.69 | Professional | None (both parts) | $7.76 | $27.54 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $34.67 | $47.86 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $13.80 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $44.67 | Professional | TC · Technical part | $25.12 | $33.11 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.59 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $12.59 | $32.36 | $44.67 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $47.86 Typical High $51.29 | Facility | None | $26.92 | $47.86 | $51.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None (both parts) | $34.67 | $54.95 | $75.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $14.13 | $19.05 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $44.67 | Professional | TC · Technical part | $25.12 | $33.11 | $44.67 |
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 $37.15 Median $38.90 Typical High $75.86 | Professional | None (both parts) | $37.15 | $38.90 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $11.48 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $26.30 | $28.18 | $53.70 |
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 $14.79 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $14.79 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $5.89 | $9.55 | $9.55 |
Where New Mexico sits
The same service costs 12.6 times more in Vermont 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
$36.31
VT $389FL $30.90
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.