How much rates vary
Facilitymedian $2,455 · 10th to 90th $204 to $3,890Professionalmedian $105 · 10th to 90th $41 to $204
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $81.28 | $131.83 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $50.12 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $83.18 | $138.04 |
BCBS New Mexico Setting Facility Modifier None Typical Low $724.44 Median $2,630.27 Typical High $4,073.80 | Facility | None | $724.44 | $2,630.27 | $4,073.80 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $28.18 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $28.18 | $75.86 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $95.50 | $151.36 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $48.98 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $104.71 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $33.11 | $64.57 | $104.71 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $223.87 Typical High $234.42 | Facility | None | $66.07 | $223.87 | $234.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $95.50 | $151.36 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $48.98 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $104.71 | $147.91 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,388.44 | Facility | None | $1,548.82 | $1,548.82 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $104.71 | $141.25 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $41.69 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $63.10 | $97.72 | $151.36 |
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 $40.74 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $40.74 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $16.22 | $26.30 | $26.30 |
Where New Mexico sits
The same service costs 4.3 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· 46th of 51
$110
AK $324UT $75.86
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.