How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $323.59 Median $323.59 Typical High $1,548.82 | Facility | None | $323.59 | $323.59 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $630.96 Typical High $870.96 | Professional | None (both parts) | $323.59 | $630.96 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $144.54 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $501.19 Typical High $812.83 | Professional | TC · Technical part | $245.47 | $501.19 | $812.83 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $60.26 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $60.26 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $602.56 Typical High $812.83 | Professional | None (both parts) | $331.13 | $602.56 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $107.15 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $501.19 Typical High $676.08 | Professional | TC · Technical part | $251.19 | $501.19 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $33.11 | $269.15 | $354.81 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $707.95 Typical High $776.25 | Facility | None | $316.23 | $707.95 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $891.25 | Professional | None (both parts) | $363.08 | $602.56 | $891.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $107.15 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $501.19 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $501.19 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $331.13 | $501.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $77.62 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $676.08 | Professional | TC · Technical part | $257.04 | $436.52 | $676.08 |
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 $162.18 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $162.18 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $64.57 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.6 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· 48th of 51
$355
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.