How much rates vary
Facilitymedian $1,288 · 10th to 90th $275 to $2,399Professionalmedian $200 · 10th to 90th $55 to $417
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 $154.88 Median $275.42 Typical High $1,023.29 | Facility | None | $154.88 | $275.42 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $154.88 | $275.42 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $89.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $102.33 | $181.97 | $380.19 |
BCBS New Mexico Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $2,454.71 | Facility | None | $446.68 | $1,584.89 | $2,454.71 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $41.69 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $41.69 | $120.23 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $165.96 | $346.74 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $69.18 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $275.42 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $33.11 | $151.36 | $213.80 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $426.58 Typical High $457.09 | Facility | None | $158.49 | $426.58 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $181.97 | $346.74 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $72.44 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $275.42 | $371.54 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $169.82 | $288.40 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $52.48 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $218.78 | $346.74 |
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 $77.62 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $77.62 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $30.90 | $54.95 | $54.95 |
Where New Mexico sits
The same service costs 5.5 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· 45th of 51
$204
AK $692UT $126
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.