How much rates vary
Facilitymedian $1,514 · 10th to 90th $407 to $2,818Professionalmedian $269 · 10th to 90th $65 to $708
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 $223.87 Median $707.95 Typical High $1,548.82 | Facility | None | $223.87 | $707.95 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $223.87 | $602.56 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $144.54 Typical High $229.09 | Professional | 26 · Professional part | $64.57 | $144.54 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $158.49 | $371.54 | $616.60 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
BCBS New Mexico Setting Facility Modifier None Typical Low $524.81 Median $1,862.09 Typical High $2,884.03 | Facility | None | $524.81 | $1,862.09 | $2,884.03 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $50.12 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $50.12 | $162.18 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $223.87 | $562.34 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $83.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $478.63 Typical High $645.65 | Professional | TC · Technical part | $158.49 | $478.63 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $33.11 | $245.47 | $316.23 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $660.69 Typical High $741.31 | Facility | None | $213.80 | $660.69 | $741.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $251.19 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $251.19 | $562.34 | $758.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $87.10 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $478.63 Typical High $645.65 | Professional | TC · Technical part | $173.78 | $478.63 | $645.65 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $229.09 | $436.52 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $63.10 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $165.96 | $346.74 | $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 $112.20 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $112.20 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $44.67 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 6.0 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· 44th of 51
$302
WY $912UT $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.