How much rates vary
Facilitymedian $309 · 10th to 90th $34 to $759Professionalmedian $28 · 10th to 90th $8 to $49
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 $22.91 Median $37.15 Typical High $54.95 | Facility | None | $22.91 | $37.15 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $22.91 | $37.15 | $63.10 |
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 $16.98 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $26.92 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None (both parts) | $17.78 | $17.78 | $20.89 |
BCBS New Mexico Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $794.33 | Facility | None | $141.25 | $489.78 | $794.33 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $5.75 Median $21.88 Typical High $36.31 | Professional | None (both parts) | $5.75 | $21.88 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $25.70 | $32.36 | $46.77 |
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 $18.62 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $22.39 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $25.70 Typical High $35.48 | Professional | None (both parts) | $9.55 | $25.70 | $35.48 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $33.88 Typical High $36.31 | Facility | None | $21.38 | $33.88 | $36.31 |
Providence Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $27.54 | $37.15 | $60.26 |
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 $20.42 Median $23.44 Typical High $32.36 | Professional | TC · Technical part | $20.42 | $23.44 | $32.36 |
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 $25.70 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $25.70 | $30.90 | $60.26 |
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 $17.78 Median $21.88 Typical High $43.65 | Professional | TC · Technical part | $17.78 | $21.88 | $43.65 |
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 $11.48 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $11.48 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.57 | $7.41 | $7.41 |
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
$28.18
AK $91.20FL $24.55
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.