How much rates vary
Facilitymedian $1,862 · 10th to 90th $617 to $3,388Professionalmedian $331 · 10th to 90th $76 to $741
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 $758.58 Typical High $1,548.82 | Facility | None | $263.03 | $758.58 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $263.03 | $524.81 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $75.86 | $144.54 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $371.54 | $562.34 |
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 $58.88 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $58.88 | $190.55 | $363.08 |
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 $630.96 Typical High $851.14 | Professional | None (both parts) | $263.03 | $630.96 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $97.72 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $524.81 Typical High $707.95 | Professional | TC · Technical part | $186.21 | $524.81 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $33.11 | $295.12 | $380.19 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $776.25 Typical High $851.14 | Facility | None | $251.19 | $776.25 | $851.14 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $630.96 Typical High $851.14 | Professional | None (both parts) | $288.40 | $630.96 | $851.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $102.33 | $144.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $524.81 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $524.81 | $707.95 |
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 $489.78 Typical High $758.58 | Professional | None (both parts) | $269.15 | $489.78 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $75.86 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $398.11 | $660.69 |
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 5.6 times more in Wyoming than in Texas. 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· 43rd of 51
$363
WY $1,072TX $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.