How much rates vary
Facilitymedian $257 · 10th to 90th $32 to $479Professionalmedian $34 · 10th to 90th $6 to $58
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 $27.54 Median $44.67 Typical High $190.55 | Facility | None | $27.54 | $44.67 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $27.54 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $5.01 | $8.51 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $36.31 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | None (both parts) | $22.39 | $22.39 | $26.30 |
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 $4.79 Median $21.88 Typical High $42.66 | Professional | None (both parts) | $4.79 | $21.88 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $57.54 | Professional | None (both parts) | $30.20 | $36.31 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.13 Typical High $11.22 | Professional | 26 · Professional part | $5.62 | $8.13 | $11.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $45.71 | Professional | TC · Technical part | $23.44 | $28.18 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $34.67 Typical High $42.66 | Professional | None (both parts) | $7.94 | $34.67 | $42.66 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $31.62 Typical High $35.48 | Facility | None | $22.91 | $31.62 | $35.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $33.11 | $42.66 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.13 Typical High $11.22 | Professional | 26 · Professional part | $5.75 | $8.13 | $11.22 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $29.51 | $43.65 |
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 $26.92 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $26.92 | $36.31 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.24 Typical High $14.13 | Professional | 26 · Professional part | $6.03 | $7.24 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $20.42 | $28.84 | $56.23 |
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 $13.80 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $13.80 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.50 | $8.91 | $8.91 |
Where New Mexico sits
The same service costs 11.5 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· 45th of 51
$33.88
VT $339FL $29.51
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.