How much rates vary
Facilitymedian $4,169 · 10th to 90th $83 to $9,333Professionalmedian $126 · 10th to 90th $47 to $214
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $83.18 | $134.90 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $51.29 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $85.11 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS New Mexico Setting Facility Modifier None Typical Low $2,630.27 Median $7,585.78 Typical High $9,332.54 | Facility | None | $2,630.27 | $7,585.78 | $9,332.54 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $28.18 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $28.18 | $75.86 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $97.72 | $144.54 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $50.12 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $95.50 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $125.89 | Professional | None (both parts) | $33.11 | $66.07 | $125.89 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $354.81 Typical High $363.08 | Facility | None | $67.61 | $354.81 | $363.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $97.72 | $154.88 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $50.12 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $95.50 | $134.90 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $8,511.38 | Facility | None | $3,801.89 | $3,801.89 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $109.65 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $43.65 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $89.13 | $186.21 |
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 $41.69 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $41.69 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $16.60 | $26.92 | $26.92 |
Where New Mexico sits
The same service costs 4.0 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· 41st of 51
$126
AK $339FL $85.11
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.