How much rates vary
Facilitymedian $417 · 10th to 90th $48 to $759Professionalmedian $38 · 10th to 90th $11 to $68
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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $31.62 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $15.49 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $22.39 | $35.48 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $28.84 | $36.31 | $43.65 |
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 $8.71 Median $28.84 Typical High $45.71 | Professional | None (both parts) | $8.71 | $28.84 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $36.31 | $48.98 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $13.80 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $26.30 | $35.48 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $14.45 | $33.11 | $47.86 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $47.86 Typical High $51.29 | Facility | None | $28.18 | $47.86 | $51.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $36.31 Median $57.54 Typical High $81.28 | Professional | None (both parts) | $36.31 | $57.54 | $81.28 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $13.80 | $19.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $26.30 | $35.48 | $50.12 |
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 $38.02 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $38.02 | $42.66 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $12.88 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $30.90 | $54.95 |
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 $15.85 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $15.85 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $6.31 | $10.00 | $10.00 |
Where New Mexico sits
The same service costs 3.7 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
$38.02
AK $123UT $33.11
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.