How much rates vary
Facilitymedian $263 · 10th to 90th $35 to $479Professionalmedian $29 · 10th to 90th $8 to $50
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 $23.99 Median $41.69 Typical High $57.54 | Facility | None | $23.99 | $41.69 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $23.99 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.23 Typical High $17.38 | Professional | 26 · Professional part | $6.03 | $10.23 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $17.78 | $28.18 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None (both parts) | $19.05 | $19.05 | $22.39 |
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 $22.39 Typical High $36.31 | Professional | None (both parts) | $5.75 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $26.30 | $33.11 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $9.55 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $23.44 | $37.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $9.55 | $26.92 | $36.31 |
Providence Setting Facility Modifier None Typical Low $22.39 Median $35.48 Typical High $37.15 | Facility | None | $22.39 | $35.48 | $37.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.90 Typical High $61.66 | Professional | None (both parts) | $28.18 | $38.90 | $61.66 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $9.55 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $21.38 | $24.55 | $33.88 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $63.10 | Professional | None (both parts) | $26.30 | $31.62 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $16.98 | Professional | 26 · Professional part | $7.59 | $8.71 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $45.71 | Professional | TC · Technical part | $18.20 | $22.91 | $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 $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $12.02 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.79 | $7.76 | $7.76 |
Where New Mexico sits
The same service costs 6.0 times more in Vermont 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· 47th of 51
$29.51
VT $155FL $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.