How much rates vary
Facilitymedian $269 · 10th to 90th $26 to $479Professionalmedian $20 · 10th to 90th $7 to $36
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 $15.85 Median $25.70 Typical High $38.02 | Facility | None | $15.85 | $25.70 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $15.85 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.76 Typical High $13.49 | Professional | 26 · Professional part | $5.50 | $7.76 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $16.60 Typical High $27.54 | Professional | TC · Technical part | $10.23 | $16.60 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $14.45 | $14.45 | $14.45 |
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 $5.37 Median $14.79 Typical High $25.12 | Professional | None (both parts) | $5.37 | $14.79 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $18.62 | $27.54 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $8.91 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $18.20 Typical High $25.12 | Professional | TC · Technical part | $12.30 | $18.20 | $25.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.71 Median $15.85 Typical High $33.11 | Professional | None (both parts) | $8.71 | $15.85 | $33.11 |
Providence Setting Facility Modifier None Typical Low $13.18 Median $31.62 Typical High $32.36 | Facility | None | $13.18 | $31.62 | $32.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $18.62 Median $30.20 Typical High $43.65 | Professional | None (both parts) | $18.62 | $30.20 | $43.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $8.91 | $12.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $18.62 Typical High $25.12 | Professional | TC · Technical part | $12.30 | $18.62 | $25.12 |
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 $21.88 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $21.88 | $23.99 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $7.24 | $7.94 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $30.20 | Professional | TC · Technical part | $13.80 | $16.22 | $30.20 |
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 $7.94 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $7.94 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $3.16 | $5.13 | $5.13 |
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· 44th of 51
$21.88
AK $64.57FL $17.38
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.