How much rates vary
Facilitymedian $1,862 · 10th to 90th $617 to $3,388Professionalmedian $324 · 10th to 90th $85 to $724
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 $263.03 Median $263.03 Typical High $1,548.82 | Facility | None | $263.03 | $263.03 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $263.03 | $524.81 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $144.54 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $186.21 | $371.54 | $616.60 |
BCBS New Mexico Setting Facility Modifier None Typical Low $630.96 Median $2,290.87 Typical High $3,467.37 | Facility | None | $630.96 | $2,290.87 | $3,467.37 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $60.26 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $60.26 | $190.55 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $263.03 | $575.44 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $109.65 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $186.21 | $467.74 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $33.11 | $199.53 | $323.59 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $776.25 Typical High $812.83 | Facility | None | $257.04 | $776.25 | $812.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $794.33 | Professional | None (both parts) | $295.12 | $575.44 | $794.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $114.82 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $204.17 | $467.74 | $630.96 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,513.56 | Facility | None | $691.83 | $691.83 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $269.15 | $501.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $83.18 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $371.54 | $588.84 |
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 $131.83 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $131.83 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $52.48 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.8 times more in Wyoming 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
$324
WY $1,096UT $191
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.