How much rates vary
Facilitymedian $1,445 · 10th to 90th $398 to $2,692Professionalmedian $245 · 10th to 90th $54 to $525
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 $204.17 Median $398.11 Typical High $1,023.29 | Facility | None | $204.17 | $398.11 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $204.17 | $363.08 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $89.13 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $151.36 | $269.15 | $537.03 |
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 $40.74 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $40.74 | $177.83 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $245.47 | $416.87 | $562.34 |
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 $190.55 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $190.55 | $346.74 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $33.11 | $190.55 | $295.12 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $512.86 Typical High $549.54 | Facility | None | $218.78 | $512.86 | $549.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $275.42 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $275.42 | $416.87 | $616.60 |
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 $208.93 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $208.93 | $346.74 | $467.74 |
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 $234.42 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $234.42 | $354.81 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $52.48 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $302.00 | $478.63 |
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 $102.33 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $102.33 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $40.74 | $72.44 | $72.44 |
Where New Mexico sits
The same service costs 5.0 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
$275
AK $891UT $178
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.