How much rates vary
Facilitymedian $417 · 10th to 90th $74 to $759Professionalmedian $56 · 10th to 90th $15 to $107
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 $45.71 Median $81.28 Typical High $107.15 | Facility | None | $45.71 | $81.28 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $45.71 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.20 Typical High $30.90 | Professional | 26 · Professional part | $10.96 | $18.20 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $35.48 | $56.23 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
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 $10.47 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $10.47 | $41.69 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $53.70 | $83.18 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $21.88 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $61.66 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $52.48 Typical High $69.18 | Professional | None (both parts) | $17.38 | $52.48 | $69.18 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $85.11 Typical High $91.20 | Facility | None | $43.65 | $85.11 | $91.20 |
Providence Setting Professional Modifier None (both parts) Typical Low $53.70 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $53.70 | $87.10 | $123.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $21.88 | $28.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $63.10 | $83.18 |
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 $60.26 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $60.26 | $69.18 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $33.88 | Professional | 26 · Professional part | $15.49 | $17.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $51.29 | $87.10 |
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 $22.91 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $22.91 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $9.12 | $14.79 | $14.79 |
Where New Mexico sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$60.26
AK $182TX $50.12
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.