How much rates vary
Facilitymedian $269 · 10th to 90th $36 to $479Professionalmedian $30 · 10th to 90th $8 to $51
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 $24.55 Median $24.55 Typical High $234.42 | Facility | None | $24.55 | $24.55 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.90 Typical High $63.10 | Professional | None (both parts) | $24.55 | $38.90 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.23 Typical High $15.14 | Professional | 26 · Professional part | $6.03 | $10.23 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.84 Typical High $48.98 | Professional | TC · Technical part | $18.20 | $28.84 | $48.98 |
BCBS New Mexico Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $489.78 | Facility | None | $89.13 | $309.03 | $489.78 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $5.75 Median $22.91 Typical High $34.67 | Professional | None (both parts) | $5.75 | $22.91 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $26.92 | $34.67 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $10.00 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $38.02 | Professional | TC · Technical part | $20.42 | $24.55 | $38.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $9.55 | $27.54 | $37.15 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $36.31 Typical High $38.90 | Facility | None | $22.91 | $36.31 | $38.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $28.84 | $39.81 | $63.10 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $10.00 | $13.80 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $21.88 | $25.12 | $34.67 |
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 $27.54 Median $32.36 Typical High $64.57 | Professional | None (both parts) | $27.54 | $32.36 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.12 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $23.44 | $45.71 |
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 $12.02 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $12.02 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $4.90 | $7.94 | $7.94 |
Where New Mexico sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$30.20
AK $95.50FL $25.70
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.