How much rates vary
Facilitymedian $1,479 · 10th to 90th $347 to $2,692Professionalmedian $240 · 10th to 90th $56 to $501
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 $181.97 Median $181.97 Typical High $1,023.29 | Facility | None | $181.97 | $181.97 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $323.59 Typical High $676.08 | Professional | None (both parts) | $181.97 | $323.59 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $52.48 | $100.00 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $128.82 | $223.87 | $467.74 |
BCBS New Mexico Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $2,754.23 | Facility | None | $501.19 | $1,778.28 | $2,754.23 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $43.65 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $43.65 | $141.25 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $190.55 | $416.87 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $72.44 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $134.90 | $338.84 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $33.11 | $181.97 | $251.19 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $524.81 Typical High $562.34 | Facility | None | $186.21 | $524.81 | $562.34 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $213.80 | $416.87 | $562.34 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $74.13 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $338.84 | $457.09 |
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 $199.53 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $199.53 | $354.81 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $54.95 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $269.15 | $426.58 |
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 $91.20 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $91.20 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $36.31 | $64.57 | $64.57 |
Where New Mexico sits
The same service costs 5.2 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· 46th of 51
$240
AK $794UT $151
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.