How much rates vary
Facilitymedian $1,479 · 10th to 90th $479 to $2,692Professionalmedian $245 · 10th to 90th $54 to $537
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 $204.17 Median $204.17 Typical High $1,023.29 | Facility | None | $204.17 | $204.17 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $204.17 | $363.08 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $51.29 | $95.50 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $575.44 | Professional | TC · Technical part | $151.36 | $269.15 | $575.44 |
BCBS New Mexico Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $2,754.23 | Facility | None | $501.19 | $1,778.28 | $2,754.23 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $40.74 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $40.74 | $173.78 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $239.88 | $426.58 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $69.18 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $186.21 | $354.81 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $33.11 | $223.87 | $288.40 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $478.63 Typical High $537.03 | Facility | None | $218.78 | $478.63 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $269.15 | $426.58 | $616.60 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $72.44 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $354.81 | $478.63 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $239.88 | $346.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $52.48 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $295.12 | $489.78 |
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 $102.33 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $102.33 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $40.74 | $72.44 | $72.44 |
Where New Mexico sits
The same service costs 5.0 times more in Alaska than in Utah. 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
$269
AK $891UT $178
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.