How much rates vary
Facilitymedian $257 · 10th to 90th $38 to $479Professionalmedian $33 · 10th to 90th $8 to $55
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 $26.92 Median $47.86 Typical High $165.96 | Facility | None | $26.92 | $47.86 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $26.92 | $43.65 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.72 Typical High $18.20 | Professional | 26 · Professional part | $6.31 | $10.72 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $20.89 | $33.11 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $25.70 Typical High $32.36 | Professional | None (both parts) | $21.88 | $25.70 | $32.36 |
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 $6.03 Median $25.70 Typical High $36.31 | Professional | None (both parts) | $6.03 | $25.70 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $30.20 | $37.15 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $7.08 | $10.00 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $26.92 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $31.62 Typical High $41.69 | Professional | None (both parts) | $10.00 | $31.62 | $41.69 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $38.02 Typical High $40.74 | Facility | None | $26.30 | $38.02 | $40.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $32.36 | $43.65 | $70.79 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $10.00 | $13.80 |
Providence Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $24.55 | $28.18 | $39.81 |
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 $29.51 Median $35.48 Typical High $69.18 | Professional | None (both parts) | $29.51 | $35.48 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.12 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $26.30 | $51.29 |
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 $13.49 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $13.49 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $5.37 | $8.71 | $8.71 |
Where New Mexico sits
The same service costs 13.5 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· 46th of 51
$33.11
VT $389FL $28.84
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.